NPIMap

Organization Active NPI

Community Medicine Foundation Inc

Doing business as North Central Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
National Provider Identifier
1053825513
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY MEDICINE FOUNDATION INC
Doing business as
North Central Family Medical Center
Practice address
205 Piedmont Blvd. Suite 100
Catawba Community Mental Health Services York Adult Ser
Rock Hill, SC 29732
Phone
(803) 327-2012
Fax
(803) 325-7744
NPI assigned
Nov 20, 2017
Last updated
Nov 20, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MEDICINE FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ernest Brown
Title
Ceo
Phone
(803) 325-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

205 Piedmont Blvd. Suite 100
Catawba Community Mental Health Services York Adult Ser
Rock Hill, SC 29732

Mailing address

1131 Saluda Street
North Central Family Medical Center
Rock Hill, SC 29730
Phone (803) 325-7744

Other identifiers 1

IdentifierTypeStateIssuer
FQC025MedicaidSC

Other names 1

  • North Central Family Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Medicine Foundation Inc17 organizations share this tax ID, including this one
Part of
Community Medicine Foundation Inc

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

205 Piedmont Blvd
Ste 100
Rock Hill, SC 29732
Phone (803) 327-2012

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1053825513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SALUDA STREET",
            "address_2": "NORTH CENTRAL FAMILY MEDICAL CENTER",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-325-7744",
            "fax_number": "803-325-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PIEDMONT BLVD. SUITE 100",
            "address_2": "CATAWBA COMMUNITY MENTAL HEALTH SERVICES YORK ADULT SER",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-327-2012",
            "fax_number": "803-325-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICINE FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEDICINE FOUNDATION INC",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-325-7744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC025",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.