NPIMap

Organization Active NPI

The Columbia Free Medical Clinic, Inc.

  • Clinic/Center
  • Columbia, SC
National Provider Identifier
1285028449
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE COLUMBIA FREE MEDICAL CLINIC, INC.
Practice address
1875 Harden Street
Columbia, SC 29204
Phone
(803) 765-1503
Fax
(803) 779-6178
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Mr. Freddie Strange, RRT
Title
Executive Director
Phone
(803) 765-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X SC Primary

Addresses

Primary practice location

1875 Harden Street
Columbia, SC 29204

Mailing address

1875 Harden St
Columbia, SC 29204-1014
Phone (803) 765-1503

Other names 1

  • The Free Medical Clinic, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1875 Harden St
Columbia, SC 29204
Phone (803) 765-1503

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1285028449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041014",
            "telephone_number": "803-765-1503",
            "fax_number": "803-779-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 HARDEN STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-765-1503",
            "fax_number": "803-779-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLUMBIA FREE MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-765-1503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Free Medical Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.