Organization
FOOTHILLS COMMUNITY HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOHN RAJKOWSKI (CEO)
(864) 722-0283
Entity
Organization
Contact information
Practice address
110 LIBERTY DR, CLEMSON, SC 29631-3157
(864) 722-0283
(864) 722-0261
Mailing address
302 PEARMAN DAIRY RD STE C1, ANDERSON, SC 29625-3802
(864) 722-0283
(864) 306-7722
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C845
MEDICARE PTAN PART B
SC
05
—
FQC122
—
SC
Enumeration date
08/15/2012
Last updated
05/12/2026
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