| Rosa Clark Medical Clinic Association, Inc. | |
|
301 Memorial Dr Seneca SC 29672 | |
| (864) 882-4629 | |
| (864) 882-4478 |
| Full Name | Rosa Clark Medical Clinic Association, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Memorial Dr, Seneca, South Carolina |
| Authorized Official Name and Position | Jamie Shannon Lee (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8646145617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosa Clark Medical Clinic Association, Inc. 301 Memorial Dr Seneca SC 29672-9491 Ph: (864) 614-5617 | Rosa Clark Medical Clinic Association, Inc. 301 Memorial Dr Seneca SC 29672 Ph: (864) 882-4629 |
| NPI Number | 1508903394 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 2466741657 |
|---|---|
| Medicare Enrollment ID | O20160511000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508903394 | NPI | - | NPPES |
| 2125083 | Other | PK |
| Provider Name | Carol Meltzer Beckenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013085851 PECOS PAC ID: 3173524873 Enrollment ID: I20070124000020 |
| Provider Name | Karen Lynn Rice Canipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477720159 PECOS PAC ID: 0941374540 Enrollment ID: I20080730000711 |
| Provider Name | William E Dukes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346281912 PECOS PAC ID: 8729122189 Enrollment ID: I20100223000477 |
| Provider Name | Patrick M Johannes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457328924 PECOS PAC ID: 2860429701 Enrollment ID: I20100521000293 |
| Provider Name | Ruthanne Marie Dahlheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104054204 PECOS PAC ID: 1557519907 Enrollment ID: I20120910000907 |
| Provider Name | Tina S Sanders-mixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487915864 PECOS PAC ID: 3779725957 Enrollment ID: I20130819000310 |
| Provider Name | Timothy Wayne Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215957832 PECOS PAC ID: 8729072046 Enrollment ID: I20230605000222 |
| Provider Name | Kimberly L Yost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598282501 PECOS PAC ID: 9638578560 Enrollment ID: I20230901000821 |
Kidscare Pediatrics, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Omni Dr Ste A, Seneca, SC 29672 Phone: 864-885-9448 Fax: 864-885-1980 | |
Upstate Homecare Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Horse Head Point Dr, Seneca, SC 29672 Phone: 864-654-6150 | |
Golden Corner Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E North 1st St, Seneca, SC 29678 Phone: 864-882-8890 Fax: 864-888-1000 | |
Beyond Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15885 Wells Hwy, Seneca, SC 29678 Phone: 864-860-8424 | |
Oconee G.i. Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Boardwalk Pl, Suite 1a, Seneca, SC 29678 Phone: 864-882-5933 | |
Clemson-seneca Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Main Street, Seneca, SC 29678 Phone: 864-888-4222 Fax: 864-888-0023 | |
Seneca Family Practice, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Whitworth Cir, Seneca, SC 29672 Phone: 864-882-7400 Fax: 864-882-7401 |