NPIMap

Organization Active NPI

Clemson University-Redfern Health Center

  • Student Health Clinic/Center
  • Clemson, SC
National Provider Identifier
1053437301
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CLEMSON UNIVERSITY-REDFERN HEALTH CENTER
Practice address
735 McMillan Rd
Clemson University
Clemson, SC 29634-0001
Phone
(864) 656-2233
Fax
(864) 656-0760
NPI assigned
Mar 21, 2007
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

735 McMillan Rd
Clemson University
Clemson, SC 29634-0001

Mailing address

Box 344054
Clemson University
Clemson, SC 29634-0001
Phone (864) 656-2233

National Provider Directory

National Provider Directory
Tax ID family
Clemson Univ Fire and EMS8 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

344054 Box
Clemson, SC 29634

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

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1053437301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 344054",
            "address_2": "CLEMSON UNIVERSITY",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296340001",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "address_2": "CLEMSON UNIVERSITY",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296340001",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON UNIVERSITY-REDFERN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 4, 2020; 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.