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) 582-2817
Entity
Organization
Contact information
Practice address
460 LANGDON ST., SPARTANBURG, SC 29302-1631
(864) 582-2817
(864) 582-2829
Mailing address
P.O. BOX 5158, SPARTANBURG, SC 29304-5158
(864) 582-2817
(864) 582-2829
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC211
—
SC
Enumeration date
03/23/2015
Last updated
05/18/2020
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