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Contact Information

FOOTHILLS COMMUNITY HEALTH CARE, INC.
403 HILLCREST DR STE E
EASLEY, SC29640-1207
 Phone: 864-343-1220
 Fax: 864-307-8870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for FOOTHILLS COMMUNITY HEALTH CARE, INC.

NPI Number 1861168155
LBN Legal business name FOOTHILLS COMMUNITY HEALTH CARE, INC.
Authorized official MARK RAJKOWSKI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2021
Last updated 05/12/2026 - About a month ago
Identifiers
SC Medicaid FQC206
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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