COMMUNITY MEDICINE FOUNDATION NPI 1164702114

NPI Information

NPI: 1164702114
Provider Name: COMMUNITY MEDICINE FOUNDATION

Doing Business As: NORTH CENTRAL PEDIATRICS

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
225 S HERLONG AVE
ROCK HILL, SC
ZIP 29732
Phone: (803) 325-7744
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COMMUNITY MEDICINE FOUNDATION is a community health clinic center in Rock Hill, SC. COMMUNITY MEDICINE FOUNDATION NPI is 1164702114. The provider is registered as an organization entity type.
The provider Is Doing Business As North Central Pediatrics.

The provider's business location address is:

225 S HERLONG AVE
ROCK HILL, SC
ZIP 29732-730
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 enumeration date for this NPI number is 8/23/2011 and was last updated on 8/23/2011.

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	261QC1500X	Clinic/Center	Community Health			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	421831	OTHER	SOUTH DAKOTA	MEDICARE ID
2	FQC025	MEDICAID	SOUTH CAROLINA
3	CBP023	MEDICAID	SOUTH CAROLINA
4	4383	OTHER	SOUTH CAROLINA	MEDICARE PART B

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

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