REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER NPI 1316753874

NPI Information

  • NPI: 1316753874
  • Provider Name: REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: REGENESIS HEALTH CARE-MOBILE HEALTH CENTER #1
  • Address: 460 LANGDON ST
    SPARTANBURG, SC
    ZIP 29302
  • Phone: (864) 582-2411

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NPI Details

REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Spartanburg, SC. REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER NPI is 1316753874. The provider is registered as an organization entity type.
The provider Is Doing Business As Regenesis Health Care-mobile Health Center #1.

The provider's business location address is:

460 LANGDON ST
SPARTANBURG, SC
ZIP 29302-614
Phone: (864) 582-2411
Fax: (864) 582-7178

The provider's authorized official is Marlon Hunter .
The authorized official title is Ceo and has the following contact phone number (864) 594-0190.

The enumeration date for this NPI number is 12/9/2024 and was last updated on 12/23/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

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This page was last updated on: 3/30/2025

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