REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (NPI# 1962918409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962918409 |
Entity Type | Organization |
Organization Name | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
Practice Address |
301 Crescent Ave Spartanburg SC 29306-4143 |
Mailing Address |
Po Box 5158 Spartanburg SC 29304-5158 |
Practice Telephone | 8645822411 |
Mailing Telephone | 8645822817 |
Enumeration Date | 2017-12-20 |
Last Update Date | 2019-04-08 |
Authorized Official Name | MARLON HUNTER (CEO) |
Authorized Official Telephone | 8645822817 |
Authorized Official Credential | MD |
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 | FQC121 | 05 |
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 |
1457745952 | Regenesis Organization Community Health Center | Clinic/Center | 460 Langdon St., Spartanburg, SC 29302-1631 | 2015-03-23 |
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 |
301 CRESCENT AVE |
City | SPARTANBURG |
State | SC |
Zip Code | 29306-4143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
1295253441 | Michael Neal Quinn | Chiropractor | 851 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-09-07 |
1003347980 | T and T Home Health Care | Home Health | 1315 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-03-23 |
1942601174 | Carolina Dental Docs LLC General Dentistry for Kids | Dentist | 1460 John B White Sr Blvd, Ste 1-c, Spartanburg, SC 29306 | 2014-09-08 |
1801237375 | Jireh Services,llc | Specialist | 180 John B. White Sr. Blvd, Spartanburg, SC 29306 | 2013-07-12 |
1811268683 | Rochelle Janene Delain | Chiropractor | 1425 John B. White, Sr. Boulevard, Spartanburg, SC 29306 | 2012-01-25 |
1366602229 | Jasjot K. Bhullar | Internal Medicine | 1410-b John B. White Sr. Boulevard, Spartanburg, SC 29306 | 2008-06-13 |
1356543045 | Cheryl B Haman | Counselor | 200 Ezell Street, Spartanburg, SC 29306 | 2007-06-04 |
1821142506 | Paula F Wilson | Counselor | 335 Caulder Ave, Spartanburg, SC 29306 | 2007-01-22 |
1154473163 | Ronald E Marshall Dds Pa | Dentist | 1410 John B White Sr Blvd, Spartanburg, SC 29306 | 2007-01-18 |
Find all providers in zip 29306 |
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 |
---|---|---|---|---|
1457745952 | Regenesis Organization Community Health Center | Clinic/Center | 460 Langdon St., Spartanburg, SC 29302-1631 | 2015-03-23 |
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 | 29306 |
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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.