Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Active
Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Active
Other names
REGENESIS COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON HUNTER (CEO)
(864) 582-2817
Entity
Organization
Contact information
Practice address
301 CRESENT AVE, SPARTANBURG, SC 29306-0000
(654) 582-2411
(864) 582-8445
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC121
—
SC
Enumeration date
04/25/2012
Last updated
05/18/2020
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