Community Medicine Foundation, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Lancaster, SC
NPI 1104330802 · NPPES record last updated Nov 17, 2017
Key facts
- NPI
- 1104330802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY MEDICINE FOUNDATION, INC
- Practice address
- 1906 Highway 521 Bypass
Catawba Community Mental Health Center Lancaster Clinic
Lancaster, SC 29720 - Phone
- (803) 285-7456
- NPI assigned
- Nov 17, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY MEDICINE FOUNDATION, INC
Authorized official
- Name
- Mr. Ernest Brown
- Title
- Ceo
- Phone
- (803) 325-7744
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Community Med Foundation
- Part of
- Community Med Foundation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1906 Highway 521 Bypass
Catawba Community Mental Health Center Lancaster Clinic
Lancaster, SC 29720
Mailing address
1131 Salvda Street
North Central Fmaily Medical Center
Rockhill, SC 29730
Phone (803) 325-7744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FQC025 | Medicaid | SC |
Other names
- North Central Family Medical Center
Other providers in Lancaster, SC
- Quanita Montgomery Clyburn
- Melissa D Cocho-Tanner
- Mark Sterlyn Coe
- Commonground Counseling and Life Coaching
- Communities in Schools
- Comsee Homecare LLC
- Constantrich Iic
- Ellen Cooper
- Lauren A. Cooper
- Sonya L Copes
All providers in Lancaster, SC · Federally Qualified Health Center (FQHC) in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.