NPIMap

Organization Active NPI

Redfern Health Center

  • Clinic/Center
  • Clemson, SC
National Provider Identifier
1003350281
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1376503425 Issued in SC
Legal business name
REDFERN HEALTH CENTER
Practice address
735 McMillan Rd
Clemson, SC 29634-4054
Phone
(864) 656-0692
NPI assigned
Dec 7, 2016
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEMSON UNVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George W Clay, DHA
Title
Executive Director
Phone
(864) 656-3564

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1376503425 SC Primary
Clinic/Center 261Q00000X 1720066053 SC
Clinic/Center 261Q00000X 1457329021 SC
Clinic/Center 261Q00000X 1225142961 SC
Clinic/Center 261Q00000X 1386871655 SC

Addresses

Primary practice location

735 McMillan Rd
Clemson, SC 29634-4054

Mailing address

735 McMillan Rd
Clemson, SC 29634-4054
Phone (864) 656-0692

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0671352Redfern Student Health Center735 McMillan Road, Clemson, SC 29634AccreditationDec 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Clemson University Joseph F Sullivan Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

735 McMillan Rd
Clemson, SC 29634
Phone (864) 656-2233

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1003350281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "telephone_number": "864-656-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "telephone_number": "864-656-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFERN HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON UNVERSITY",
        "enumeration_date": "2016-12-07",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-656-3564",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "1376503425",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "1720066053",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "1457329021",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "1225142961",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "1386871655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.