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CHC30713-00 ROSA CLARK MEDICAL CLINIC INC (Active)
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Main Details
Name
ROSA CLARK MEDICAL CLINIC INC
Subdivision Name
Rosa Clark Medical Clinic at Memorial Drive
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019314
340B ID
CHC30713-00
Grant Number
H80CS30713
Additional Details
Current Program Status
Active
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/17/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Rosa Clark Medical Clinic
Vicki A. Thompson, CEO
(864) 614-5612
Primary Contact
Rosa Clark Medical Clinic
Christopher Richard Hagan, Director of Pharmacy Services
(864) 882-7397
Addresses
Street Address
301 Memorial Drive
Seneca, SC 29672
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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