Organization
RICHLAND COMMUNITY HEALTH CARE ASSOCIATION
Active
Parent organization
RICHLAND COMMUNITY HEALTH CARE ASSOCIATION, INC.
Other names
CAROLINA MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHLAND COMMUNITY HEALTH CARE ASSOCIATION, INC.
Authorized official
MS. HELEN BRYSON (CEO)
(803) 799-8407
Entity
Organization
Contact information
Practice address
3010 FARROW RD, SUITE 230, COLUMBIA, SC 29203-7607
(803) 799-1284
(803) 799-8148
Mailing address
1520 LAUREL ST, COLUMBIA, SC 29201-2623
(803) 799-8407
(803) 252-9070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
20390
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBP006
—
SC
05
—
FQC030
—
SC
05
—
FQC043
—
SC
05
—
GP4435
—
SC
Enumeration date
07/24/2006
Last updated
04/29/2010
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