Provider Demographics
NPI:1053596536
Name:NEW HORIZON FAMILY HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:NEW HORIZON FAMILY HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:J BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-729-8330
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29602-0287
Mailing Address - Country:US
Mailing Address - Phone:864-312-6001
Mailing Address - Fax:
Practice Address - Street 1:111 BERRY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1307
Practice Address - Country:US
Practice Address - Phone:864-801-2035
Practice Address - Fax:864-801-2037
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZON FAMILY HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-03
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCFQC071Medicaid
SCFQC071Medicaid