Community Medicine Foundation | |
1029 Crawford Rd Rm 103 Rock Hill SC 29730-5152 | |
(803) 487-9663 | |
Not Available |
Full Name | Community Medicine Foundation |
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Speciality | Clinic/Center |
Location | 1029 Crawford Rd Rm 103, Rock Hill, South Carolina |
Authorized Official Name and Position | Ernest Brown (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8033257744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Medicine Foundation 1029 Crawford Rd Rm 103 Rock Hill SC 29730-5152 Ph: (803) 487-9663 | Community Medicine Foundation 1029 Crawford Rd Rm 103 Rock Hill SC 29730-5152 Ph: (803) 487-9663 |
NPI Number | 1619621844 |
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Provider Enumeration Date | 02/07/2022 |
Last Update Date | 02/07/2022 |
Medicare PECOS PAC ID | 4880687490 |
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Medicare Enrollment ID | O20220727000304 |
Identifier | Type | State | Issuer |
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1619621844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (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 | |