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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