| Acts Signature Community Services, Inc. | |
|
3025 Chesbrough Blvd Rock Hill SC 29732 | |
| (803) 327-4723 | |
| (803) 980-8625 |
| Full Name | Acts Signature Community Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3025 Chesbrough Blvd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Susan Ahern (SVP, CFO) |
| Authorized Official Contact | 2156618330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acts Signature Community Services, Inc. 420 Delaware Dr Fort Washington PA 19034-2711 Ph: (215) 661-8330 | Acts Signature Community Services, Inc. 3025 Chesbrough Blvd Rock Hill SC 29732 Ph: (803) 327-4723 |
| NPI Number | 1700353448 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 5092032284 |
|---|---|
| Medicare Enrollment ID | O20190123001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700353448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan Veronee Breazeale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366642019 PECOS PAC ID: 3678479821 Enrollment ID: I20031209000950 |
| Provider Name | Christy A Petit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316347503 PECOS PAC ID: 0345562757 Enrollment ID: I20141212001635 |
| Provider Name | Shiniqua Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548932577 PECOS PAC ID: 6406294008 Enrollment ID: I20241107000040 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 1800, Rock Hill, SC 29732 Phone: 803-909-1850 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Workman St, Rock Hill, SC 29730 Phone: 803-325-7710 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732 Phone: 803-329-5131 | |
Community Medicine Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-325-7744 | |
Carolinas Physicians Network Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730 Phone: 803-326-3790 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |
Shiland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732 Phone: 803-329-5131 |