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205 Piedmont Blvd. Suite 100 Catawba Community Mental Health Services York Adult Ser Rock Hill SC 29732 | |
(803) 327-2012 | |
(803) 325-7744 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 205 Piedmont Blvd. Suite 100, Rock Hill, South Carolina |
Authorized Official Name and Position | Ernest Brown (CEO) |
Authorized Official Contact | 8033257744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1131 Saluda Street North Central Family Medical Center Rock Hill SC 29730 Ph: (803) 325-7744 | 205 Piedmont Blvd. Suite 100 Catawba Community Mental Health Services York Adult Ser Rock Hill SC 29732 Ph: (803) 327-2012 |
NPI Number | 1053825513 |
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Provider Enumeration Date | 11/20/2017 |
Last Update Date | 11/20/2017 |
Identifier | Type | State | Issuer |
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1053825513 | NPI | - | NPPES |
FQC025 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |