North Central Pediatrics

LBN: Community Medicine Foundation
North Central Pediatrics is an health care organization with primary practice located at 225 S Herlong Ave , Rock Hill SC 29732-2730. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Community Medicine Foundation can be contacted via phone (803) 325-7744, or through Brown, Ernest G. via phone (803) 325-7744.

Contact Information

Primary practice address
225 S Herlong Ave Rock Hill SC 29732-2730
Phone: (803) 325-7744
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Ernest G.
Phone: (803) 325-7744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1164702114
LBN Legal business name Community Medicine Foundation
DBA Doing business as North Central Pediatrics
Authorized official Brown, Ernest G.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2011
Last updated Aug 23rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164702114 NPPES
South Carolina MEDICAID CBP023
South Carolina MEDICAID FQC025
South Carolina Other 421831
South Carolina Other 4383

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