Ncfmc Peditric And Adolescent Center

LBN: Community Medicine Foundation
Ncfmc Peditric And Adolescent Center is an health care organization with primary practice located at 225 S Herlong Ave Suite 250, Rock Hill SC 29732-2730. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Medicine Foundation can be contacted via phone (803) 325-8742, or through Brown, Ernest G. via phone (803) 325-7744.

Contact Information

Primary practice address
225 S Herlong Ave Suite 250 Rock Hill SC 29732-2730
Phone: (803) 325-8742
Fax: (803) 325-2369
Website:
Map and Directions
Authorized official contact:
Name: Brown, Ernest G.
Phone: (803) 325-7744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1902173891
LBN Legal business name Community Medicine Foundation
DBA Doing business as Ncfmc Peditric And Adolescent Center
Authorized official Brown, Ernest G.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2011
Last updated Dec 6th, 2011 - about 13 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 1902173891 NPPES
South Carolina MEDICAID FQC-025

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