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302 Pearman Dairy Rd Ste 1 Clemson SC 29633-0311 | |
(864) 722-0283 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 302 Pearman Dairy Rd, Clemson, South Carolina |
Authorized Official Name and Position | Mark John Rajkowski (CEO) |
Authorized Official Contact | 8647220283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 311 Clemson SC 29633-0311 Ph: (864) 722-0283 | 302 Pearman Dairy Rd Ste 1 Clemson SC 29633-0311 Ph: (864) 722-0283 |
NPI Number | 1063056661 |
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Provider Enumeration Date | 11/06/2019 |
Last Update Date | 02/07/2025 |
Medicare PECOS PAC ID | 8628227667 |
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Medicare Enrollment ID | O20200515002435 |
Identifier | Type | State | Issuer |
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1063056661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson, SC 29634 Phone: 864-656-0692 | |
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