PRISMA HEALTH-UPSTATE (NPI# 1063968196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063968196 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL |
| Practice Address |
298 Memorial Dr Seneca SC 29672-9443 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4536 |
| Practice Telephone | 8648857156 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HTL-0937 | SC | Hospitals |
| Other Name | Type Code |
|---|---|
| GHS Oconee Memorial Hospital | Doing Business As Name - Organization |
| Prisma Health Oconee Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1982159877 | Prisma Health-upstate | Clinic/Center | 741 Se Main St, Simpsonville, SC 29681-3237 | 2016-08-20 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1174161806 | Prisma Health-upstate | Clinic/Center | 11082 N Radio Station Rd, Seneca, SC 29678-1142 | 2019-12-12 |
| 1700424439 | Prisma Health-upstate | Clinic/Center | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2019-12-12 |
| 1043857998 | Prisma Health-upstate | Clinic/Center | 103 Whitetail Dr, Walhalla, SC 29691-5837 | 2019-12-10 |
| 1932746815 | Prisma Health-upstate | Clinic/Center | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2019-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prisma Health-Upstate | 300 E Mcbee Ave Suite 500, Greenville, SC 29601 |
| Street Address |
298 MEMORIAL DR |
| City | SENECA |
| State | SC |
| Zip Code | 29672-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097825 | Keowee Radiology P A | Radiology | 298 Memorial Dr, Seneca, SC 29672-9443 | 2005-07-20 |
| 1912420795 | Hayli Grace Evans | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-07-24 |
| 1235666371 | Joshua Padgett | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-05-19 |
| 1689120784 | Upstate Affiliate Organization | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1295188704 | Prisma Health-upstate | Ambulance | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-07-20 |
| 1033580444 | Greenville Health System | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2015-10-12 |
| 1578964649 | Greenville Health System | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-09-09 |
| 1164821831 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1720487481 | Greenville Health System | Pharmacy | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1275941528 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544925 | Prisma Health-upstate | General Acute Care Hospital | 131 Lila Doyle Dr, Seneca, SC 29672-9495 | 2016-08-29 |
| 1164821831 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1275941528 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-07-31 |
| 1356760516 | Greenville Health System | General Acute Care Hospital | 131 Lila Doyle Dr, Seneca, SC 29672-9495 | 2014-04-15 |
| 1619069440 | Upmc Northwest | General Acute Care Hospital | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1275066821 | Travis B Grindstaff | General Acute Care Hospital | 411 Polifka Dr, Shaw Afb, SC 29152 | 2017-04-10 |
| 1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1548716665 | Upstate Affiliate Organization | General Acute Care Hospital | 200 Andrews St, Suite 100, Greenville, SC 29601-3969 | 2016-08-29 |
| 1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
| 1952756124 | University of Florida | General Acute Care Hospital | 1537 Theresa Dr, Apt A, Charleston, SC 29412-3242 | 2016-04-25 |
| 1831550060 | Lexington Medical Center | General Acute Care Hospital | 146 N Hospital Dr Ste 310, West Columbia, SC 29169-4800 | 2016-03-16 |
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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.