Foothills Community Health Care | |
302 Pearman Dairy Rd Ste C1 Anderson SC 29625-3802 | |
(864) 722-0283 | |
Not Available |
Full Name | Foothills Community Health Care |
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Speciality | Clinic/Center |
Location | 302 Pearman Dairy Rd Ste C1, Anderson, South Carolina |
Authorized Official Name and Position | Mark John Rajkowski (CEO) |
Authorized Official Contact | 8647220283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Foothills Community Health Care 302 Pearman Dairy Rd Ste C1 Anderson SC 29625-3802 Ph: (864) 722-0283 | Foothills Community Health Care 302 Pearman Dairy Rd Ste C1 Anderson SC 29625-3802 Ph: (864) 722-0283 |
NPI Number | 1063056661 |
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Provider Enumeration Date | 11/06/2019 |
Last Update Date | 02/11/2025 |
Medicare PECOS PAC ID | 8628227667 |
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Medicare Enrollment ID | O20200515002435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063056661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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