Rosa Clark Medical Clinic Association, Inc. is an authorized DME supplier for medicare equipments and products.
Rosa Clark Medical Clinic Association, Inc. is a Federally Qualified Health Center (FQHC) in Seneca, South Carolina. This pharmacy is owned and operated by Rosa Clark Medical Center. 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 Clinic Association, Inc. is Jamie Shannon Lee who is Chief Financial Officer of the pharmacy and his contact number is 864-614-5617.Rosa Clark Medical Clinic Association, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Rosa Clark Medical Clinic Association, Inc. is definition to come...
Pharmacy Details:
Rosa Clark Medical Clinic Association, Inc. 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 Clinic Association, Inc.
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 Clinic Association, Inc. are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Pharmacy
Secondary
Clinic Pharmacy
3129
South Carolina
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 Clinic Association, Inc. 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 Clinic Association, Inc. at 301 Memorial Dr, Seneca, South Carolina or can call on customer care at 864-882-4629.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.