# REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164747929
- **Legal business name:** REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
- **Authorized official:** MR. MARLON HUNTER (CEO)
- **Authorized official phone:** (864) 582-2817

## Contact information

- **Practice address:** 750 S CHURCH ST, SPARTANBURG, SC 29306-5348
- **Practice address phone:** (864) 699-3283
- **Practice address fax:** (864) 699-3284
- **Mailing address:** PO BOX 5158, SPARTANBURG, SC 29304-5158
- **Mailing address phone:** (864) 582-2411
- **Mailing address fax:** (864) 582-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10852 | SC | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 01/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 710852 | — | SC |