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501 Belleview Rd Rock Hill SC 29730-4806 | |
(803) 909-6363 | |
(803) 909-6364 |
Full Name | |
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Speciality | Clinic/Center |
Location | 501 Belleview Rd, Rock Hill, South Carolina |
Authorized Official Name and Position | Anita Case (CEO) |
Authorized Official Contact | 8039099710 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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455 Lakeshore Pkwy Rock Hill SC 29730-4205 Ph: (803) 909-6363 | 501 Belleview Rd Rock Hill SC 29730-4806 Ph: (803) 909-6363 |
NPI Number | 1679350391 |
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Provider Enumeration Date | 09/14/2023 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 9638101272 |
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Medicare Enrollment ID | O20240308000650 |
Identifier | Type | State | Issuer |
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1679350391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |