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ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
NPI 1316794639
Clinic/Center - Federally Qualified Health Center (FQHC) in Westminster, SC

Active since May 03, 2024CLIA Certified · 2 labs
1606 E MAIN ST, WESTMINSTER, SC 29693(864) 973-7391 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Jul 9, 2024, May 6, 2024 and 1 more (4 updates tracked since 2024).

About Rosa Clark Medical Clinic Association, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC. (NPI 1316794639), doing business as Rosa Clark Medical Clinic, Inc., is a healthcare organization registered as a federally qualified health center (fqhc) in Westminster, South Carolina and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Jamie Shannon Lee, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316794639
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
Location Address1606 E MAIN STWestminster, SC 29693-2122
Mailing Address301 Memorial DrSeneca, SC 29672-9491 · (864) 882-4664 · Fax (864) 614-5006
Phone(864) 973-7391
Organization SubpartYes
Authorized OfficialJamie Shannon LeeChief Financial Officer · (864) 973-7391
Enumeration DateMay 3, 2024
Last NPPES UpdateAugust 26, 20254 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1316794639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
1606 E MAIN ST, Westminster, SC 29693
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Other Names 1

Doing Business AsRosa Clark Medical Clinic, Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2127994

Rosa Clark Medical Clinic · Seneca, SC
Active · expires Mar 21, 2027
CLIA Number42D2127994
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorDr. Valda Smith
Laboratory Phone(864) 614-5612
Laboratory LocationRosa Clark Medical Clinic301 Memorial Drive, Seneca, SC 29672
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0882197

Rosa Clark Medical Clinic Association Inc · Seneca, SC
Active · expires Aug 15, 2027
CLIA Number42D0882197
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDr. Valda Smith
Laboratory Phone(864) 882-4664
Laboratory LocationRosa Clark Medical Clinic Association Inc210 South Oak Street, Seneca, SC 29672
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosa Clark Medical Clinic Association, Inc.'s NPI number?

The NPI number for Rosa Clark Medical Clinic Association, Inc. is 1316794639. It was assigned to this organization in the NPPES registry on May 3, 2024. The provider is doing business as Rosa Clark Medical Clinic, Inc..

Where is Rosa Clark Medical Clinic Association, Inc. located?

Rosa Clark Medical Clinic Association, Inc. is located at 1606 E Main St, Westminster, SC 29693. The listed phone number is (864) 973-7391.

What is Rosa Clark Medical Clinic Association, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Rosa Clark Medical Clinic Association, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Rosa Clark Medical Clinic Association, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 30 other insurers list Rosa Clark Medical Clinic Association, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rosa Clark Medical Clinic Association, Inc. was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.