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NORTH CENTRAL FAMILY MEDICAL, CHESTER FACILITY
NPI 1003198136
Clinic/Center - Community Health in Chester, SC

Active since September 14, 2011CLIA Certified · 4 labs
115 CESTRAIN SQ, CHESTER, SC 29706(803) 581-0574 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Central Family Medical, Chester Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH CENTRAL FAMILY MEDICAL, CHESTER FACILITY (NPI 1003198136) is a healthcare organization registered as a community health in Chester, South Carolina and active in the NPI registry since September 2011. The organization holds 4 active CLIA laboratory certificates and lists Ernest G. Brown, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003198136
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCOMMUNITY MEDICINE FOUNDATION
Location Address115 CESTRAIN SQChester, SC 29706-1979
Mailing AddressPo Box 28Rock Hill, SC 29731-6028 · (803) 325-7744
Phone(803) 581-0574
Organization SubpartNo
Authorized OfficialErnest G. BrownExecutive Director · (803) 325-7744
Enumeration DateSeptember 14, 2011
✔ NPI 1003198136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
115 CESTRAIN SQ, Chester, SC 29706
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Central Family Medical, Chester Facility

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2260836

North Central Fam Med Ctr, Dba Community Medicine Foundation · Rock Hill, SC
Active · expires May 23, 2028
CLIA Number42D2260836
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorDr. Roosevelt Daniel
Laboratory Phone(803) 325-7744
Laboratory LocationNorth Central Fam Med Ctr, Dba Community Medicine Foundation1029 Crawford Road, Rock Hill, SC 29730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2260837

North Central Fam Med Ctr, Dba Community Medicine Foundation · Rock Hill, SC
Active · expires May 23, 2028
CLIA Number42D2260837
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorDr. Roosevelt Daniel
Laboratory Phone(803) 325-7744
Laboratory LocationNorth Central Fam Med Ctr, Dba Community Medicine Foundation205 Piedmont Blvd, #100, Rock Hill, SC 29730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2019676

North Central Fam Med Ctr Dba Community Medicine Foundation · Rock Hill, SC
Active · expires Feb 2, 2027
CLIA Number42D2019676
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorDr. Roosevelt Daniel
Laboratory Phone(803) 325-7744
Laboratory LocationNorth Central Fam Med Ctr Dba Community Medicine Foundation1140 Sauda St, Rock Hill, SC 29730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0868813

North Central Family Medical Center Dba Community Medicine Foundation · Rock Hill, SC
Active · expires Dec 17, 2026
CLIA Number42D0868813
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDr. Roosevelt Daniel
Laboratory Phone(803) 325-7744
Laboratory LocationNorth Central Family Medical Center Dba Community Medicine Foundation1131 Saluda Street, Rock Hill, SC 29731
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Medicine Foundation's NPI number?

The NPI number for Community Medicine Foundation is 1003198136. It was assigned to this organization in the NPPES registry on September 14, 2011. The provider is doing business as North Central Family Medical, Chester Facility.

Where is Community Medicine Foundation located?

Community Medicine Foundation is located at 115 Cestrain Sq, Chester, SC 29706. The listed phone number is (803) 581-0574.

What is Community Medicine Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Community Medicine Foundation hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Community Medicine Foundation was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.