Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Active
Parent organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Authorized official
LOIS J MENKEN (CREDENTIALING SPECIALIST)
(864) 594-0175
Entity
Organization
Contact information
Practice address
115 THOMAS ST STE B, UNION, SC 29379-2147
(864) 582-2411
(864) 256-4336
Mailing address
PO 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
Enumeration date
11/04/2019
Last updated
01/07/2020
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