Organization · Type 2 NPI

Rosa Clark Medical Clinic Association, Inc.

Federally Qualified Health Center (FQHC) · Westminster, SC

NPI number 1316794639 Active

Practice location

1606 E Main St
Westminster, SC 29693-2122

Call (864) 973-7391 Map

Mailing address

301 Memorial Dr
Seneca, SC 29672-9491

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1316794639
Entity type: Organization (Type 2)
Issued: May 3, 2024
Last updated: Aug 26, 2025
Status: Active
Subpart: Yes of Rosa Clark Medical Clinic Association, Inc.

Other names

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Rosa Clark Medical Clinic, Inc. · doing business as

Authorized official

Jamie Shannon Lee
Chief Financial Officer
(864) 973-7391

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316794639

Rosa Clark Medical Clinic Association, Inc.'s National Provider Identifier is 1316794639, issued on May 3, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Westminster, SC. The record was last updated on Aug 26, 2025.