COMMUNITY MEDICINE FOUNDATION INC NPI 1053825513

NPI Information

NPI: 1053825513
Provider Name: COMMUNITY MEDICINE FOUNDATION INC

Doing Business As: NORTH CENTRAL FAMILY MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
205 PIEDMONT BLVD. SUITE 100
CATAWBA COMMUNITY MENTAL HEALTH SERVICES YORK ADULT SER
ROCK HILL, SC
ZIP 29732
Phone: (803) 327-2012
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COMMUNITY MEDICINE FOUNDATION INC is a federally qualified health center (fqhc) clinic center in Rock Hill, SC. COMMUNITY MEDICINE FOUNDATION INC NPI is 1053825513. The provider is registered as an organization entity type.
The provider Is Doing Business As North Central Family Medical Center.

The provider's business location address is:

205 PIEDMONT BLVD. SUITE 100
CATAWBA COMMUNITY MENTAL HEALTH SERVICES YORK ADULT SER
ROCK HILL, SC
ZIP 29732
Phone: (803) 327-2012
Fax: (803) 325-7744

The provider's authorized official is Ernest Brown .
The authorized official title is Ceo and has the following contact phone number (803) 325-7744.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FQC025	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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