Regenesis Organization Community Health Center | |
220 College Street Spartanburg SC 29302 | |
(864) 582-2411 | |
Not Available |
Full Name | Regenesis Organization Community Health Center |
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Speciality | Clinic/Center |
Location | 220 College Street, Spartanburg, South Carolina |
Authorized Official Name and Position | Marlon Hunter (CEO) |
Authorized Official Contact | 8645940190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regenesis Organization Community Health Center Po Box 5158 Spartanburg SC 29304-5158 Ph: (864) 582-2411 | Regenesis Organization Community Health Center 220 College Street Spartanburg SC 29302 Ph: (864) 582-2411 |
NPI Number | 1558946376 |
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Provider Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |
Medicare PECOS PAC ID | 8022928001 |
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Medicare Enrollment ID | O20210729003362 |
Identifier | Type | State | Issuer |
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1558946376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |