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
Fax: (864) 882-4478
Website:
Authorized official contact:
Name: Lee, Jamie Shannon

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508903394 NPPES
Other 2125083 PK

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