Greenville Free Medical Clinic, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

GREENVILLE FREE MEDICAL CLINIC, INC.

Doing business as

Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C

Practice address

600 Arlington Ave
Greenville, SC 29601-3204

Phone

(864) 232-1470

Fax

(864) 233-4599

NPI assigned

Mar 24, 2009

Last updated

Mar 24, 2009By 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

Ms. Suzie J. Foley

Title

Executive Director

Phone

(864) 232-1470

Specialties & licenses 2

Addresses

Other names 1

• Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Jennifer Hall, AGNP

  • Adult Health Nurse Practitioner
  • Greer, SC
  • NPI 1528473824
  NPD (past)
• Marian S McCray, APRN-BC

  • Adult Health Nurse Practitioner
  • Greenville, SC
  • NPI 1184813420
  NPD (past)
• Brittany Michele Roper, LISW-CP

  • Social Worker
  • Greenville, SC
  • NPI 1386203545
  NPD (past)
• Thanh Dat Vo, PHARMD

  • Pharmacist
  • Greenville, SC
  • NPI 1750929154
  NPD (past)
• Edith Chambless Wessel, M.D.

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1952571390
  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1720220668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8993",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296048993",
            "telephone_number": "864-232-1470",
            "fax_number": "864-233-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ARLINGTON AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013204",
            "telephone_number": "864-232-1470",
            "fax_number": "864-233-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE FREE MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-232-1470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Community Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.