Clemson Free Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

8228 Issued in SC

Legal business name

CLEMSON FREE CLINIC

Practice address

1200 Tiger Blvd Ste 2
Clemson, SC 29631-2663

Phone

(864) 654-8277

Fax

(864) 654-8907

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By 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. Sandra Catherine Smith, RN,MSN

Title

Executive Director

Phone

(864) 654-8277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1720481708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296330941",
            "telephone_number": "864-654-8277",
            "fax_number": "864-654-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 TIGER BLVD STE 2",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312663",
            "telephone_number": "864-654-8277",
            "fax_number": "864-654-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-654-8277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MSN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "8228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemson Counseling Center Inc
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• Clemson Dental Associates, PA
• Clemson Eye, PA
• Clemson Health Center
• Clemson Neurology
• Clemson Psychiatry, Inc.
• Clemson Sports Medicine and Rehab
• Clemson Sports Medicine and Rehabilitation

• 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 3, 2014; 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.