REDFERN HEALTH CENTER (NPI# 1003350281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003350281 |
Entity Type | Organization |
Organization Name | REDFERN HEALTH CENTER |
Practice Address |
735 Mcmillan Rd Clemson SC 29634-4054 |
Practice Telephone | 8646560692 |
Mailing Telephone | 8646560692 |
Enumeration Date | 2016-12-07 |
Last Update Date | 2019-10-02 |
Authorized Official Name | GEORGE W CLAY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8646563564 |
Authorized Official Credential | DHA |
Is Organization Subpart | Y |
Parent Organization Name | CLEMSON UNVERSITY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | 1720066053 | SC | Ambulatory Health Care Facilities |
N | 261Q00000X | Clinic/Center | 1457329021 | SC | Ambulatory Health Care Facilities |
N | 261Q00000X | Clinic/Center | 1225142961 | SC | Ambulatory Health Care Facilities |
N | 261Q00000X | Clinic/Center | 1386871655 | SC | Ambulatory Health Care Facilities |
Y | 261Q00000X | Clinic/Center | 1376503425 | SC | Ambulatory Health Care Facilities |
Street Address |
735 MCMILLAN RD |
City | CLEMSON |
State | SC |
Zip Code | 29634-4054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457329021 | Kathryn D Barden | Emergency Medicine | 735 Mcmillan Rd, Clemson, SC 29634-3706 | 2006-03-09 |
1871108761 | Chuck Andrew Hennes | Pharmacist | 735 Mcmillan Rd, Clemson, SC 29634-0001 | 2020-09-09 |
1043564453 | Kelly Mozelle Bollinger | Counselor | 735 Mcmillan Rd, Clemson, SC 29634-4022 | 2012-11-07 |
1457600264 | Ronda Sims Mcwhorter | Pharmacist | 735 Mcmillan Rd, Clemson University, Clemson, SC 29634-4054 | 2012-09-07 |
1073861951 | Kevin Mckinley Tabb Jr. | Psychologist | 735 Mcmillan Rd, Clemson, SC 29634-1463 | 2012-08-27 |
1245527175 | Allison Honea | Nurse Practitioner | 735 Mcmillan Rd, Clemson, SC 29634-4054 | 2011-06-29 |
1265679526 | Lisa Alaine Arthur-banning | Nurse Practitioner | 735 Mcmillan Rd, Clemson, SC 29634-1497 | 2009-01-08 |
1235259870 | Annette Whelchel Jackson | Nurse Practitioner | 735 Mcmillan Rd, Clemson, SC 29634-0001 | 2007-03-29 |
1356469431 | William Victor Griffith | General Practice | 735 Mcmillan Rd, Clemson, SC 29634-4054 | 2007-03-27 |
1376669184 | Clemson University | Pharmacy | 735 Mcmillan Rd, Clemson University, Clemson, SC 29634-0001 | 2007-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215304928 | Hui-lin Tsai | Acupuncturist | 101 Edwards Hall, Clemson, SC 29634 | 2015-08-28 |
1619529708 | Kelly Leahy Turney | Specialist/Technologist | 100 Perimeter Dr, Clemson, SC 29634-0001 | 2019-07-10 |
1710461132 | Wade Hampton Shugart Iv | Clinic/Center | 205 Fike Rec Center, Clemson, SC 29634-0001 | 2018-09-21 |
1417484502 | Alora Marie Sullivan | Specialist/Technologist | 310 Perimeter Rd, Clemson, SC 29634-0001 | 2017-05-19 |
1548612823 | Gage Nathaniel Berry | Specialist/Technologist | 110 Heisman St, Clemson, SC 29634-0001 | 2016-07-11 |
1174974687 | Cherrish Megan Kyle | Nurse Practitioner | Edwards Hall 101 Mcmillan Rd, Clemson, SC 29634-0001 | 2016-06-27 |
1720442528 | University Physical Therapy and Sports Medicine, Inc. | Clinic/Center | 205 Fike Rec Ctr, Clemson, SC 29634-0001 | 2016-04-07 |
1043627342 | Jeffie Trammell | Specialist/Technologist | 301 Centennial Blvd, Clemson, SC 29634-0001 | 2014-07-18 |
1871800219 | Clemson University Joseph F. Sullivan Center | Clinic/Center | 201 Epsilon Zeta Dr, 101 Edwards Hall, Clemson, SC 29634-0001 | 2010-09-07 |
1013038298 | Rosanne Harkey Pruitt | Nurse Practitioner | Sullivan Ctr, 106 Edwards Hall, Clemson, SC 29634-0001 | 2007-04-03 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871800219 | Clemson University Joseph F. Sullivan Center | Clinic/Center | 201 Epsilon Zeta Dr, 101 Edwards Hall, Clemson, SC 29634-0001 | 2010-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.