| Foothills Community Health Care | |
|
110 Liberty Dr Clemson SC 29631-3157 | |
| (864) 722-0283 | |
| (864) 722-0261 |
| Full Name | Foothills Community Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Liberty Dr, Clemson, 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 Po Box 311 Clemson SC 29633-0311 Ph: (864) 722-0283 | Foothills Community Health Care 110 Liberty Dr Clemson SC 29631-3157 Ph: (864) 722-0283 |
| NPI Number | 1538417951 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 04/14/2020 |
| Medicare PECOS PAC ID | 8628227667 |
|---|---|
| Medicare Enrollment ID | O20121005000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538417951 | NPI | - | NPPES |
| C845 | Other | SC | MEDICARE PTAN PART B |
| FQC122 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson, SC 29634 Phone: 864-656-0692 | |
Clemson Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 Fax: 864-654-7672 | |
Prisma Health Pediatrics-clemson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 Fax: 864-653-8963 | |
Ghs Clemson-seneca Ped - Clem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Frontage Rd Ste 1, Clemson, SC 29631 Phone: 864-654-6034 Fax: 864-654-0342 | |
Family Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 522 College Ave, Suite 1, Clemson, SC 29631 Phone: 864-654-7841 Fax: 864-654-7641 | |
Clemson University-redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson University, Clemson, SC 29634 Phone: 864-656-2233 Fax: 864-656-0760 | |
Anmed Health Clemson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 |