St. Luke's Free Medical Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ST. LUKE'S FREE MEDICAL CLINIC

Practice address

162 N Dean St
Spartanburg, SC 29302-1517

Phone

(864) 542-2273

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patsy Whitney

Title

Executive Director

Phone

(864) 542-2273

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jonathan Gregory Green, FNP

  • Family Nurse Practitioner
  • Spartanburg, SC
  • NPI 1164153227
  NPD (past)
• Margaret Everhart Mack, PHD, APRN, FNP-BC

  • Family Nurse Practitioner
  • Highlands, NC
  • NPI 1821332941
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1124402839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293043466",
            "telephone_number": "864-542-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021517",
            "telephone_number": "864-542-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S FREE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-542-2273"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Sprouse, OD
• Kasey Nicole Srey, MSW
• Ajai Srinivasan, M.D.
• Nalin K Srivastava, M.D.
• Hitha Srivatsan, LMFT, CCH
• Amanda Lyons St. Marie, CRNA
• Wendy Marie Stacey, CAC
• Caleb Andrew Staggs, PHARM D
• Michael Curtis Staley, MD
• Tracy D Staley, RN

• Community/Behavioral Health Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.