Clemson Health Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLEMSON HEALTH CENTER

Practice address

885 Tiger Blvd
Clemson, SC 29631-1480

Phone

(864) 654-6800

Fax

(864) 654-7672

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Suzanne Rees Herb

Title

Director

Phone

(864) 654-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Edmond R Jordan, MD

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1033173562
  NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1003879032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311480",
            "telephone_number": "864-654-6800",
            "fax_number": "864-654-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311480",
            "telephone_number": "864-654-6800",
            "fax_number": "864-654-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HERB",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "REES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-654-6800"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0967",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clemson Counseling Center, Inc.
• Clemson Counseling Group, LLC
• Clemson Dental Associates, PA
• Clemson Eye, PA
• Clemson Free Clinic
• Clemson Neurology
• Clemson Psychiatry, Inc.
• Clemson Sports Medicine and Rehab
• Clemson Sports Medicine and Rehabilitation
• Clemson Sports Medicine and Rehabilitation Inc

• Primary Care Clinic/Center in Clemson, SC
• Providers in Clemson, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.