NORTHWEST CRESCENT FREE CLINIC, GREER FREE CLINIC, GOLDEN STRIP FREE C
NPI 1720220668
Clinic/Center - Community Health in Greenville, SC

NPI Status: Active since March 24, 2009

Contact Information

600 ARLINGTON AVE
GREENVILLE, SC
ZIP 29601
Phone: (864) 232-1470
Fax: (864) 233-4599

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 42D0968703
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 12-20-2025

About NORTHWEST CRESCENT FREE CLINIC, GREER FREE CLINIC, GOLDEN STRIP FREE C

This page provides the complete NPI Profile along with additional information for Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C, a primary care provider established in Greenville, South Carolina operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1720220668 assigned on March 2009. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C. The authorized official of this NPI record is Ms. Suzie J. Foley (Executive Director)

NPI
1720220668
Provider Legal Name
GREENVILLE FREE MEDICAL CLINIC, INC.
Other Organization Name
NORTHWEST CRESCENT FREE CLINIC, GREER FREE CLINIC, GOLDEN STRIP FREE C
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 ARLINGTON AVE GREENVILLE, SC 29601
Location Phone
(864) 232-1470
Location Fax
(864) 233-4599
Mailing Address
PO BOX 8993 GREENVILLE, SC 29604
Mailing Phone
(864) 232-1470
Mailing Fax
(864) 233-4599
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2009
Last Update Date
03-24-2009
Code Navigator

A primary care provider (PCP) like Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251V00000XAgencies

Voluntary or Charitable

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SUZIE J. FOLEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(864) 232-1470

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0968703
Facility Type
Community Clinic
Certificate Effective Date
December 21, 2023
Certificate Expiration Date
December 20, 2025
Laboratory Director
ROBERT E R. BROKER MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720220668
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740420612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 2 + 0 + 6 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1720220668 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184813420 MARIAN S MCCRAY APRN-BC
Individual
Nurse Practitioner (Adult Health)600 ARLINGTON AVE
GREENVILLE, SC 29601
(864) 232-1470
1952571390DR. EDITH CHAMBLESS WESSEL M.D.
Individual
Family Medicine600 ARLINGTON AVE
GREENVILLE, SC 29601
(864) 232-1470
1750929154DR. THANH DAT VO PHARMD
Individual
Pharmacist600 ARLINGTON AVE
GREENVILLE, SC 29601
(864) 230-2503
1386203545 BRITTANY MICHELE ROPER LISW-CP
Individual
Social Worker600 ARLINGTON AVE
GREENVILLE, SC 29601
(864) 232-1470
1104643899 EILEEN BARNES LPC
Individual
Counselor600 ARLINGTON AVE
GREENVILLE, SC 29601
(609) 947-6265

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720220668, enumerated in the NPI registry as an "organization" on March 24, 2009

The provider is located at 600 Arlington Ave Greenville, Sc 29601 and the phone number is (864) 232-1470

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider's CLIA number is 42D0968703 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on March 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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