| Clemson University Clemson Rural Health | |
|
200 Booker Dr Walhalla SC 29691-2278 | |
| (864) 656-3076 | |
| (843) 985-9562 |
| Full Name | Clemson University Clemson Rural Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 Booker Dr, Walhalla, South Carolina |
| Authorized Official Name and Position | Ronald W Gimbel (DIRECTOR) |
| Authorized Official Contact | 8646561896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clemson University Clemson Rural Health 101 Edwards Hall Clemson SC 29634-0001 Ph: (864) 656-5520 | Clemson University Clemson Rural Health 200 Booker Dr Walhalla SC 29691-2278 Ph: (864) 656-3076 |
| NPI Number | 1093990707 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 1850393786 |
|---|---|
| Medicare Enrollment ID | O20121206000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093990707 | NPI | - | NPPES |
| GP1885 | Medicaid | SC |
| Provider Name | Darlene Arnette Fludd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245320811 PECOS PAC ID: 7113000944 Enrollment ID: I20080215000694 |
| Provider Name | Eunice K Lehmacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508099748 PECOS PAC ID: 6709924467 Enrollment ID: I20091117000670 |
| Provider Name | Thomas Kickham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669434437 PECOS PAC ID: 5597758870 Enrollment ID: I20100303000692 |
| Provider Name | Timothy Aaron Zeller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659381440 PECOS PAC ID: 4183794159 Enrollment ID: I20121022000649 |
| Provider Name | Michelle M Deem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588778146 PECOS PAC ID: 2769634153 Enrollment ID: I20121211000311 |
| Provider Name | Paula J Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083785018 PECOS PAC ID: 9234381880 Enrollment ID: I20130117000474 |
| Provider Name | Amy B Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700291168 PECOS PAC ID: 4284853656 Enrollment ID: I20140917000431 |
| Provider Name | Jacqueline Gabrielle Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211197 PECOS PAC ID: 4486086394 Enrollment ID: I20191114002410 |
| Provider Name | William Worrall Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558817809 PECOS PAC ID: 4082033386 Enrollment ID: I20201007000151 |
| Provider Name | Caitlin Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336941 PECOS PAC ID: 9830519099 Enrollment ID: I20201009000918 |
| Provider Name | Kristine Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245887793 PECOS PAC ID: 2769892389 Enrollment ID: I20201110000241 |
| Provider Name | Calli Watford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689262362 PECOS PAC ID: 4082015193 Enrollment ID: I20210628001036 |
| Provider Name | Abigail P Morningstar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881383099 PECOS PAC ID: 7315392339 Enrollment ID: I20231011003026 |
| Provider Name | Jessica Lang Morrison |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134908734 PECOS PAC ID: 6507212032 Enrollment ID: I20231019002359 |
| Provider Name | Jennilee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386877017 PECOS PAC ID: 4284771437 Enrollment ID: I20240611000948 |
Rise Therapy & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805 Highlands Highway, Suite B, Walhalla, SC 29691 Phone: 678-467-9307 | |
Counseling Center Of Pendelton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Browns Square Dr, Walhalla, SC 29691 Phone: 864-812-9400 Fax: 864-644-2710 | |
Threehorn Ltd. Co. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N. Earle St., Walhalla, SC 29691 Phone: 864-249-7800 Fax: 864-406-1686 | |
Oconee County Djj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Booker Dr, Suite B, Walhalla, SC 29691 Phone: 864-638-9537 | |
Willow Branch Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Browns Square Dr, Walhalla, SC 29691 Phone: 864-710-2659 |