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1140 Saluda Street Women's Health And Pediatric /adolescent Center Rock Hill SC 29730 | |
(803) 325-7744 | |
(803) 325-1117 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1140 Saluda Street, 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 29730-5776 Ph: (803) 325-7744 | 1140 Saluda Street Women's Health And Pediatric /adolescent Center Rock Hill SC 29730 Ph: (803) 325-7744 |
NPI Number | 1154861045 |
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Provider Enumeration Date | 02/27/2017 |
Last Update Date | 02/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154861045 | NPI | - | NPPES |
FQC025 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 | |