Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Active
Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Active
Other names
REGENESIS HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON HUNTER (CEO)
(864) 594-0190
Entity
Organization
Contact information
Practice address
945 E MAIN ST STE A, SPARTANBURG, SC 29302-2119
(864) 582-2411
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
(864) 582-2411
(864) 582-7178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194710426
NPI
—
Enumeration date
12/05/2022
Last updated
01/03/2025
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