FOOTHILLS COMMUNITY HEALTH CARE INC. NPI 1861168155

NPI Information

NPI: 1861168155
Provider Name: FOOTHILLS COMMUNITY HEALTH CARE, INC.

Doing Business As: FOOTHILLS COMMUNITY HEALTH CARE INC MOBILE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
403 HILLCREST DR STE E
EASLEY, SC
ZIP 29640
Phone: (864) 343-1220
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FOOTHILLS COMMUNITY HEALTH CARE, INC. is a clinic center in Easley, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOOTHILLS COMMUNITY HEALTH CARE, INC. NPI is 1861168155. The provider is registered as an organization entity type.
The provider Is Doing Business As Foothills Community Health Care Inc Mobile.

The provider's business location address is:

403 HILLCREST DR STE E
EASLEY, SC
ZIP 29640-207
Phone: (864) 343-1220
Fax: (864) 307-8870

The provider's authorized official is Mark John Rajkowski .
The authorized official title is Ceo and has the following contact phone number (864) 722-0283.

The enumeration date for this NPI number is 8/18/2021 and was last updated on 10/13/2021.

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	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261Q00000X	Clinic/Center		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	FQC206	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: 5/5/2024

NPI Synchronization or Removal

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