REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (NPI# 1457745952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457745952 |
| Entity Type | Organization |
| Organization Name | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Other Organization Name | REGENESIS HEALTH CARE |
| Practice Address |
460 Langdon St. Spartanburg SC 29302-1631 |
| Mailing Address |
P.o. Box 5158 Spartanburg SC 29304-5158 |
| Practice Telephone | 8645822817 |
| Practice Fax Number | 8645822829 |
| Mailing Telephone | 8645822817 |
| Mailing Fax Number | 8645822829 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | MARLON HUNTER (CEO) |
| Authorized Official Telephone | 8645822817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC211 | 05 |
| Other Name | Type Code |
|---|---|
| ReGenesis Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1508400474 | Regenesis Organization Community Health Center | Dentist | 115 Thomas St Ste C, Union, SC 29379-2147 | 2019-11-04 |
| 1962918409 | Regenesis Organization Community Health Center | Clinic/Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 | 2017-12-20 |
| 1548528714 | Regenesis Organization Community Health Center | Clinic/Center | 301 Cresent Ave, Spartanburg, SC 29306-0000 | 2012-04-25 |
| 1194710426 | Regenesis Organization Community Health Center | Dentist | 750 S. Church Street, Spartanburg, SC 29306 | 2005-09-13 |
| 1811476005 | Regenesis Organization Community Health Center | Pharmacy | 1341 N Limestone St, Gaffney, SC 29340-4733 | 2018-08-09 |
| 1316325897 | Regenesis Organization Community Health Center | Clinic/Center | 362 N Pine St, Spartanburg, SC 29302-1631 | 2015-05-15 |
| 1164747929 | Regenesis Organization Community Health Center | Pharmacy | 750 S Church St, Spartanburg, SC 29306-5348 | 2010-04-05 |
| 1245409846 | Regenesis Organization Community Health Center | Clinic/Center | 1341 N Limestone St, Gaffney, SC 29340-4733 | 2008-02-27 |
| Street Address |
460 LANGDON ST. |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918409 | Regenesis Organization Community Health Center | Clinic/Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 | 2017-12-20 |
| 1548528714 | Regenesis Organization Community Health Center | Clinic/Center | 301 Cresent Ave, Spartanburg, SC 29306-0000 | 2012-04-25 |
| 1851779334 | Regenesis Community Health Center | Clinic/Center | 362 N Pine St, Spartanburg, SC 29302-1631 | 2015-05-15 |
| 1740696384 | Regenesis School Based Mobile | Clinic/Center | 1220 John B White Sr Blvd, Spartanburg, SC 29306-3929 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
Please comment or provide details below to improve the information on REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.