NPIMap

Organization Active NPI

Community Medicine Foundation

Doing business as NCFMC-Rock Hill Mental Health

  • Community Health Clinic/Center
  • Rock Hill, SC
National Provider Identifier
1124777339
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
COMMUNITY MEDICINE FOUNDATION
Doing business as
NCFMC-Rock Hill Mental Health
Practice address
205 Piedmont St
Rock Hill, SC 29730-4137
Phone
(803) 325-7744
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Ernest Brown
Title
Executive Director
Phone
(803) 325-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

205 Piedmont St
Rock Hill, SC 29730-4137

Mailing address

205 Piedmont St
Rock Hill, SC 29730-4137

Other names 1

  • NCFMC-Rock Hill Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1124777339. Details of each certification follow.

  • CCN 421018 Federally qualified health center · Active · Name & address match · Details
  • CCN 871044 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 421018

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NORTH CENTRAL FAMILY MEDICAL CENTER - ROCK HILL ME
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 15, 2022
Last certification
Apr 15, 2022
Ownership / control type
For profit – corporation
Facility address
205 Piedmont St
Rock Hill, SC 29730

Federally qualified health center certification: CCN 871044

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NORTH CENTRAL FAMILY MEDICAL CENTER - ROCK HILL ME
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 10, 2022
Last certification
Oct 10, 2022
Ownership / control type
For profit – corporation
Facility address
205 Piedmont St
Rock Hill, SC 29730

National Provider Directory

National Provider Directory
Tax ID family
Community Med Foundation17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1124777339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PIEDMONT ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PIEDMONT ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304137",
            "telephone_number": "803-325-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICINE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-325-7744"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCFMC-Rock Hill Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.