ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
NPI 1508903394
Clinic/Center - Federally Qualified Health Center (FQHC) in Seneca, SC
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 1508903394) is a healthcare organization registered as a federally qualified health center (fqhc) in Seneca, South Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 2, 2028, maintains 2 additional practice locations, and lists Jamie Shannon Lee, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rosa Clark Medical Clinic Association, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Rosa Clark Medical Clinic Association, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 42D2303958
Rosa Clark Medical Clinic Westminster · Westminster, SCFrequently 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 Center's NPI number?
The NPI number for Rosa Clark Medical Center is 1508903394. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as Rosa Clark Medical Clinic Association, Inc..
Where is Rosa Clark Medical Center located?
Rosa Clark Medical Center is located at 301 Memorial Dr, Seneca, SC 29672. The listed phone number is (864) 882-4629.
What is Rosa Clark Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Rosa Clark Medical Center enrolled in Medicare?
Yes. Rosa Clark Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rosa Clark Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Rosa Clark Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (3) and Clinical Social Worker (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rosa Clark Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2303958) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rosa Clark Medical Center accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 35 other insurers list Rosa Clark Medical Center 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 Center was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Rosa Clark Medical Clinic Association, Inc. · NPI 1508903394
Federally Qualified Health Center (FQHC) organization in Seneca, South Carolina. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1508903394 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Rosa Clark Medical Center
- **Organization subpart:** No
- **Authorized official:** Jamie Lee, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 301 MEMORIAL DR, Seneca, SC 29672
- **Phone:** (864) 882-4629 · **Fax:** (864) 882-4478
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (3), Clinical Social Worker (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2023
- **Other identifiers:** Other 2125083
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508903394) · Data from the CMS NPPES public registry.