Rosa Clark Medical Clinic Association, Inc.
LBN: Rosa Clark Medical Center
Rosa Clark Medical Clinic Association, Inc. is an health care organization with primary practice located at 301 Memorial Dr , Seneca SC 29672. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Rosa Clark Medical Center can be contacted via phone (864) 882-4629, or through Lee, Jamie Shannon via phone (864) 614-5617.
Contact Information
Primary practice address
301 Memorial Dr
Seneca SC 29672
Phone: (864) 882-4629
Fax: (864) 882-4478
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Clinic Pharmacy | 3336C0002X | 3129 | South Carolina |
Profile Details
NPI number | 1508903394 |
---|---|
LBN Legal business name | Rosa Clark Medical Center |
DBA Doing business as | Rosa Clark Medical Clinic Association, Inc. |
Authorized official | Lee, Jamie Shannon |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 31st, 2007 |
Last updated | Nov 3rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508903394 | NPPES |
Other | 2125083 | PK |
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