Regenesis Organization Community Health Center
Clinic/Center, Federally Qualified Health Center (FQHC) in Union, SC. Organization (NPI-2).
NPI number1982248852
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1982248852
- Entity type
- Organization (NPI-2)
- Legal business name
- Regenesis Organization Community Health Center
- Organization subpart
- Yes
- Enumeration date
- Nov 4, 2019
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
115 Thomas St Ste BUnion, SC 29379-2147
Phone 864-582-2411 · Fax 864-256-4336
Mailing address
Po Box 5158Spartanburg, SC 29304-5158
Phone 864-582-2817 · Fax 864-582-2829
Authorized official
Lois J Menken
Credentialing Specialist
8645940175
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