COMMUNITY MEDICINE FOUNDATION NPI 1528004918

NPI Information

COMMUNITY MEDICINE FOUNDATION is a federally qualified health center (fqhc) clinic center in Rock Hill, SC. COMMUNITY MEDICINE FOUNDATION NPI is 1528004918. 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:

1131 SALUDA ST
ROCK HILL, SC
ZIP 29730-776
Phone: (803) 325-7744

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

The CLIA number assigned to this NPI record is 42D2260837 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 1/9/2024.

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:

Other Identifiers

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