| Regenesis Organization Community Health Center | |
|
1663 E Main St Duncan SC 29334-9217 | |
| (864) 582-2411 | |
| (864) 594-0040 |
| Full Name | Regenesis Organization Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1663 E Main St, Duncan, South Carolina |
| Authorized Official Name and Position | Marlon Hunter (CE0) |
| Authorized Official Contact | 8645940190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenesis Organization Community Health Center Po Box 5158 Spartanburg SC 29304-5158 Ph: (864) 582-2411 | Regenesis Organization Community Health Center 1663 E Main St Duncan SC 29334-9217 Ph: (864) 582-2411 |
| NPI Number | 1225899594 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 8022928001 |
|---|---|
| Medicare Enrollment ID | O20240514001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225899594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Squires Pointe Medical Park Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Squires Pointe, Duncan, SC 29334 Phone: 864-433-8980 | |
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