| Community Medicine Foundation | |
|
1029 Crawford Rd Rm 103 Rock Hill SC 29730-5152 | |
| (803) 487-9663 | |
| Not Available |
| Full Name | Community Medicine Foundation |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 02/07/2022 |
| Medicare PECOS PAC ID | 4880687490 |
|---|---|
| Medicare Enrollment ID | O20220727000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619621844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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