NPIMap

Organization Active NPI

Foothills Community Health Care, Inc.

Doing business as Foothills Community Health Care Inc Mobile

  • Clinic/Center
  • Easley, SC
National Provider Identifier
1861168155
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOOTHILLS COMMUNITY HEALTH CARE, INC.
Doing business as
Foothills Community Health Care Inc Mobile
Practice address
403 Hillcrest Dr Ste E
Easley, SC 29640-1207
Phone
(864) 343-1220
Fax
(864) 307-8870
NPI assigned
Aug 18, 2021
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mark John Rajkowski
Title
Ceo
Phone
(864) 722-0283

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

403 Hillcrest Dr Ste E
Easley, SC 29640-1207

Mailing address

302 Pearman Dairy Rd Ste C1
Anderson, SC 29625-3802
Phone (864) 722-0283

Other names 1

  • Foothills Community Health Care Inc Mobile Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170310002094 SC Part A Provider - Federally Qualified Health Center (FQHC) 8628227667 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Easley, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861168155. Details of each certification follow.

Federally qualified health center certification: CCN 421048

Legal name
FOOTHILLS COMMUNITY HEALTH CARE
Doing business as
FOOTHILLS COMMUNITY HEALTH CARE EASLEY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 20, 2017
Last certification
Mar 20, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 19, 2008 in SC
Enrollment address
403 Hillcrest Dr
Easley, SC 29640-1207

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foothills Community Health Care11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

110 Liberty Dr
Clemson, SC 29631
Phone (864) 722-0283

403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George Clay Individual Corporate OfficerBoard Member Jun 1, 2016
Mark Rajkowski Individual 5% Or Greater Direct Ownership InterestCeo May 1, 2018
Corporate DirectorCeo Jul 2, 2018
W-2 Managing EmployeeCeo Jul 2, 2018
Linda Johnson Individual Corporate OfficerBoard Member Mar 20, 2013
Patricia Yardley Individual Corporate OfficerBoard Member Apr 7, 2014
Ellie Taylor Individual Corporate OfficerBoard Member Jun 1, 2016
Megan M Bowers Individual Corporate OfficerBoard Member May 20, 2015
Cindy Trimmier -Lee Individual Corporate OfficerBoard Member Jul 18, 2013
Nicole Paluzzi Individual Corporate OfficerBoard Member May 20, 2015
Amy Anderson Individual Corporate OfficerBoard Member Jun 19, 2014
Leah Sanders Individual Corporate OfficerBoard Member May 20, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1861168155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PEARMAN DAIRY RD STE C1",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253802",
            "telephone_number": "864-722-0283",
            "fax_number": "864-306-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HILLCREST DR STE E",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401207",
            "telephone_number": "864-343-1220",
            "fax_number": "864-307-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "RAJKOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-722-0283"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Community Health Care Inc Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foothills Community Health Care Inc Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.