Organization
COMMUNITY MEDICINE FOUNDATION
Active
Organization
COMMUNITY MEDICINE FOUNDATION
Active
Other names
NCFMC Peditric and Adolescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST G. BROWN (EXECUTIVE DIRECTOR)
(803) 325-7744
Entity
Organization
Contact information
Practice address
225 S HERLONG AVE, SUITE 250, ROCK HILL, SC 29732-2730
(803) 325-8742
(803) 325-2369
Mailing address
PO BOX 28, ROCK HILL, SC 29731-6028
(803) 325-7744
(803) 325-1117
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC-025
—
SC
Enumeration date
11/21/2011
Last updated
12/06/2011
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