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General NPI Number Information
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NPI Number | 1922912070
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Entity Type | Organization
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Legal Business Name | FOOTHILLS COMMUNITY HEALTH CARE, INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 331 ANTREVILLE HWY
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City | IVA
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State | SC
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Zip | 29655-9548
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Country | US
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Telephone | 864-512-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 302 PEARMAN DAIRY RD STE C1
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City | ANDERSON
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State | SC
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Zip | 29625-3802
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Country | US
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Telephone | 864-224-0822
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Fax | 864-306-7722
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Authorized Official
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Title or Position | CEO
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Name | MARK JOHN RAJKOWSKI
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Credential |
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Telephone | 864-722-0283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NULL
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