Regenesis Organization Community Health Center
LBN: Regenesis Organization Community Health Center
Regenesis Organization Community Health Center is an health care organization with primary practice located at 750 S. Church Street , Spartanburg SC 29306. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Regenesis Organization Community Health Center can be contacted via phone (864) 582-2411, or through Hunter, Marlon via phone (864) 582-2817.
Contact Information
Primary practice address
750 S. Church Street
Spartanburg SC 29306
Phone: (864) 582-2411
Fax: (864) 582-7179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1194710426 |
|---|---|
| LBN Legal business name | Regenesis Organization Community Health Center |
| DBA Doing business as | |
| Authorized official | Hunter, Marlon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | May 18th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194710426 | NPPES |
| South Carolina | MEDICAID | FQC057 |
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