| Foothills Community Healthcare-anderson | |
|
1100 W Franklin St Anderson SC 29624-2012 | |
| (864) 722-0283 | |
| (864) 722-0261 |
| Full Name | Foothills Community Healthcare-anderson |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 W Franklin St, Anderson, 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 Healthcare-anderson Po Box 311 Clemson SC 29633-0311 Ph: (864) 722-0283 | Foothills Community Healthcare-anderson 1100 W Franklin St Anderson SC 29624-2012 Ph: (864) 722-0283 |
| NPI Number | 1063056661 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 8628227667 |
|---|---|
| Medicare Enrollment ID | O20200515002435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063056661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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