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ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
NPI 1508903394
Clinic/Center - Federally Qualified Health Center (FQHC) in Seneca, SC

Active since January 31, 2007CLIA 42D2303958 · Waiver
301 MEMORIAL DR, SENECA, SC 29672(864) 882-4629(864) 882-4478 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Aug 12, 2019, May 11, 2016 (3 updates tracked since 2016).

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 and lists Jamie Shannon Lee, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1508903394
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameROSA CLARK MEDICAL CENTER
Location Address301 MEMORIAL DRSeneca, SC 29672
Mailing Address301 Memorial DrSeneca, SC 29672-9491 · (864) 614-5617 · Fax (864) 882-4478
Phone(864) 882-4629
Fax(864) 882-4478
Organization SubpartNo
Authorized OfficialJamie Shannon LeeChief Financial Officer · (864) 614-5617
Enumeration DateJanuary 31, 2007
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1508903394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X · License 3129 (SC)
301 MEMORIAL DR, Seneca, SC 29672
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Other Names 1

Doing Business AsRosa Clark Medical Clinic Association, Inc.

Other Identifiers 1

Other2125083Pk

Accepted Insurance

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

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, SC
Active · expires May 2, 2028
CLIA Number42D2303958
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorValda Smith
Laboratory Phone(864) 614-5617
Laboratory LocationRosa Clark Medical Clinic Westminster1608 East Main Street, Westminster, SC 29693
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN SCHMUTZ LEONARD NP
Nurse Practitioner (Family)
301 MEMORIAL DR
SENECA, SC 29672
Oconee County (864) 882-4664
PATRICK MICHAEL JOHANNES MD
Emergency Medicine (Emergency Medical Services)
301 MEMORIAL DR, ROSA CLARK MEDICAL CLINIC
SENECA, SC 29672
Oconee County (864) 882-4664
HANNAH EMILY WILKER NP-C
Nurse Practitioner (Family)
301 MEMORIAL DR
SENECA, SC 29672
Oconee County (864) 882-4664
CHRISTOPHER RICHARD HAGAN PHARMD
Pharmacist
301 MEMORIAL DR
SENECA, SC 29672
Oconee County (864) 882-7397
OCONEE PHYSICIAN PRACTICES
Contractor
301 MEMORIAL DR, SUITE G
SENECA, SC 29672
Oconee County (864) 885-7633

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 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.

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 Arizona Complete Health and 40 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.