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450 Old Greenville Hwy Clemson SC 29631-1670 | |
(864) 653-8964 | |
(864) 653-8963 |
Full Name | |
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Speciality | Clinic/Center |
Location | 450 Old Greenville Hwy, Clemson, South Carolina |
Authorized Official Name and Position | Polly H. Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 522-8603 | 450 Old Greenville Hwy Clemson SC 29631-1670 Ph: (864) 653-8964 |
NPI Number | 1619423704 |
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Provider Enumeration Date | 08/29/2016 |
Last Update Date | 02/15/2022 |
Medicare PECOS PAC ID | 5698063162 |
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Medicare Enrollment ID | O20161118001532 |
Identifier | Type | State | Issuer |
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1619423704 | NPI | - | NPPES |
RHC235 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (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 | |
Clemson Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 Fax: 864-654-7672 | |
Clemson University-redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson University, Clemson, SC 29634 Phone: 864-656-2233 Fax: 864-656-0760 | |