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Contact Information

REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
945 E MAIN ST STE A
SPARTANBURG, SC29302-2119
 Phone: 864-582-2411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER

NPI # 1457061087
LBN Legal business name REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
Authorized official MARLON HUNTER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2022
Last updated 01/03/2025 - More than a year ago
Identifiers
Other 1194710426 NPI
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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