Organization
COMMUNITY MEDICINE FOUNDATION INC
Active
Parent organization
COMMUNITY MEDICINE FOUNDATION INC
Other names
North Central Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICINE FOUNDATION INC
Authorized official
MR. ERNEST BROWN CEO (CEO)
(803) 325-7744
Entity
Organization
Contact information
Practice address
524 DOCTORS COURT, CATAWBA COMMUNITY MENTAL HEALTH CENTER, CHESTER, SC 29706
(803) 325-7744
(803) 325-1117
Mailing address
1131 SALUDA STREET, NORTH CENTRAL FAMILY MEDICAL CENTER, ROCK HILL, SC 29730
(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
—
FQC025
—
SC
Enumeration date
10/09/2017
Last updated
10/09/2017
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