PRISMA HEALTH-UPSTATE


Address: 701 Grove Rd, Greenville, SC 29605-4210
Phone: 8644557716

PRISMA HEALTH-UPSTATE (NPI# 1225583115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225583115
Entity Type Organization
Organization Name PRISMA HEALTH-UPSTATE
Other Organization Name PRISMA HEALTH ROGER C PEACE REHABILITATION HOSPITAL
Practice Address 701 Grove Rd
Greenville
SC 29605-4210
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Practice Telephone 8644557716
Enumeration Date 2016-08-20
Last Update Date 2020-04-13
Authorized Official Name POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
Authorized Official Telephone 8645222286
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283X00000X Rehabilitation Hospital HTL-0936 SC Hospitals

Other Provider/Organization Names

Other Name Type Code
GHS Roger C Peace Doing Business As Name - Organization
Prisma Health Roger C Peace Rehabilitation Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Prisma Health-Upstate 300 E Mcbee Ave Suite 500, Greenville, SC 29601

Office Location

Street Address 701 GROVE RD
City GREENVILLE
State SC
Zip Code 29605-4210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922002807 Patricia A Stawaisz Nurse Anesthetist, Certified Registered 701 Grove Rd, Greenville, SC 29605-5611 2005-06-09
1851992648 Sarah Sosebee Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-11-06
1942801097 Kristin Cherie Davis Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-11-05
1679174650 Kristin Welborn Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-11-05
1407457666 Carmen Michele Faulkner-fennell Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-11-04
1134720568 Amanda Parker Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-11-03
1053911693 Ryan Walter Ridgeway Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-10-30
1891395083 Tyler Kraft Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-10-28
1912507062 Courtney Danielle Reddig Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-10-28
1063012128 Adrienne Eubanks Bundrick Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 283X00000X
Grouping Hospitals
Classification Rehabilitation Hospital

Taxonomy Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265867121 Greenville Neuromodulation Center, Inc. Rehabilitation Hospital 179 Main St, Greenville, PA 16125-2145 2013-09-11
1164430047 Greenville Health System Rehabilitation Hospital 701 Grove Rd, Greenville, SC 29605-5611 2006-08-04
1871537217 St. Francis Hospital, Inc Rehabilitation Hospital 1 Saint Francis Dr, Greenville, SC 29601-3955 2006-06-16
1063454544 St Francis Hospital Inc Rehabilitation Hospital 1 Saint Francis Dr, Greenville, SC 29601-3955 2006-06-11
1043275936 Seniorhealth Rehabilitation Hospital of Greenville, Inc Rehabilitation Hospital 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2006-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215550496 Midlands Regional Rehabilitation Hospital LLC Rehabilitation Hospital 20 Pinnacle Parkway, Elgin, SC 29045-8389 2020-05-22
1003312521 Myrtle Beach Rehabilitation Hospital, LLC Rehabilitation Hospital 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 2018-04-03
1598970097 Steven Syck Rehabilitation Hospital 112 Falcons View Ct., Walhalla, SC 29691 2007-05-10
1104890862 Anmed Encompass Health Rehabilitation Hospital, LLC Rehabilitation Hospital 1 Spring Back Way, Anderson, SC 29621 2006-02-16
1184697807 Encompass Health Rehabilitation Hospital of Rock Hill, LLC Rehabilitation Hospital 1795 Dr Frank Gaston Blvd, Rock Hill, SC 29732 2006-02-13
1043283757 Encompass Health Rehabilitation Hospital of Charleston, LLC Rehabilitation Hospital 9181 Medcom St, North Charleston, SC 29406 2006-02-12
1598738296 Encompass Health Rehabilitation Hospital of Florence, Inc. Rehabilitation Hospital 900 E Cheves St, Florence, SC 29506 2006-02-12
1700388584 Encompass Health Rehabilitation Hospital of Bluffton LLC Rehabilitation Hospital 107 Seagrass Station Road, Bluffton, SC 29910 2018-03-07
1225587397 Jimmy D Reed Rehabilitation Hospital 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2016-09-29
1346683109 Loy William White Jr. Rehabilitation Hospital 555 E Cheves St, Florence, SC 29506-2617 2013-04-11
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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