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Contact Information

ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
1606 E MAIN ST
WESTMINSTER, SC29693-2122
 Phone: 864-973-7391
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.

NPI # 1316794639
LBN Legal business name ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
Authorized official JAMIE LEE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/03/2024
Last updated 08/26/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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