Organization
ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
Active
Parent organization
ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
Other names
Rosa Clark Medical Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
Authorized official
JAMIE SHANNON LEE (CHIEF FINANCIAL OFFICER)
(864) 973-7391
Entity
Organization
Contact information
Practice address
1606 E MAIN ST, WESTMINSTER, SC 29693-2122
(864) 973-7391
Mailing address
301 MEMORIAL DR, SENECA, SC 29672-9491
(864) 882-4664
(864) 614-5006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
08/26/2025
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