Rosa Clark Medical Center
Federally Qualified Health Center (FQHC)
301 Memorial Dr, Seneca
South Carolina, 29672
864-882-4629 864-882-4478
Rosa Clark Medical Center is an authorized DME supplier for medicare equipments and products.
Rosa Clark Medical Center is a Federally Qualified Health Center (FQHC) in Seneca, South Carolina. It is located at 301 Memorial Dr, Seneca and it's customer support contact number is 864-882-4629. The authorized person of Rosa Clark Medical Center is Jamie Shannon Lee who is Chief Financial Officer of the pharmacy and his contact number is 864-614-5617. Rosa Clark Medical Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Rosa Clark Medical Center is definition to come...
Pharmacy Details:
Rosa Clark Medical Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Rosa Clark Medical Center |
| Type: | Federally Qualified Health Center (FQHC) |
| Location: | 301 Memorial Dr, Seneca, South Carolina, 29672 |
| Phone: | 864-882-4629 |
| Fax: | 864-882-4478 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jamie Shannon Lee |
| Position: | Chief Financial Officer |
| Contact Number: | 864-614-5617 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1508903394 |
| NPI Enumeration Date: | 31 Jan, 2007 |
| NPI Last Update On: | 03 Nov, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rosa Clark Medical Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Clinic Pharmacy | 3129 | South Carolina | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2125083 | Other | | Pk |
Medicare Enrollment:
Rosa Clark Medical Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2466741657 | O20160511000856 | Rosa Clark Medical Clinic | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 2466741657 | O20170322001209 | Rosa Clark Medical Clinic | PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 301 Memorial Dr, Seneca, South Carolina |
| Zip: | 29672-9491 |
| Phone Number: | 864-614-5617 |
| Fax Number: | 864-882-4478 |
Patients can reach Rosa Clark Medical Center at
301 Memorial Dr, Seneca, South Carolina or can
call on customer care at 864-882-4629.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.