| Foothills Community Health Care Easley | |
|
403 Hillcrest Dr Ste E Easley SC 29640-1207 | |
| (864) 722-0283 | |
| Not Available |
| Full Name | Foothills Community Health Care Easley |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 Hillcrest Dr Ste E, Easley, South Carolina |
| Authorized Official Name and Position | Mark John Rajkowski (CEO) |
| Authorized Official Contact | 8647220283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Community Health Care Easley Po Box 311 Clemson SC 29633-0311 Ph: (864) 722-0283 | Foothills Community Health Care Easley 403 Hillcrest Dr Ste E Easley SC 29640-1207 Ph: (864) 722-0283 |
| NPI Number | 1083169213 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 8628227667 |
|---|---|
| Medicare Enrollment ID | O20170310002094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083169213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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