GREENVILLE HEALTH SYSTEM (NPI# 1245649912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245649912 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HEALTH SYSTEM |
| Other Organization Name | GHS CANCER INST - LAURENS |
| Practice Address |
22725 Highway 76 E Medical Office Building 3rd Floor Clinton SC 29325-7527 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8649382879 |
| Practice Fax Number | 8649382880 |
| Mailing Telephone | 8647976307 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | MICHAEL C. RIORDAN (PRESIDENT / CEO) |
| Authorized Official Telephone | 8647977808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 111717 | 05 | |
| SC | MEDICARE RAILROAD | CB9553 | 01 |
| SC | 400783 | 05 | |
| SC | AETNA | 6510325 | 01 |
| SC | 354643 | 05 |
| Other Name | Type Code |
|---|---|
| GHS CANCER INST - LAURENS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952588 | Greenville Health System | PACE Provider Organization | 32 Stoney Point Dr, Greenville, SC 29605-4628 | 2016-06-06 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1770903833 | Greenville Health System | General Acute Care Hospital | 13 Edgewood Dr, Greenville, SC 29605-4235 | 2014-04-16 |
| 1457771511 | Greenville Health System | General Acute Care Hospital | 1120 Grove Rd Ste B, Greenville, SC 29605-4652 | 2014-04-16 |
| 1679992838 | Greenville Health System | General Acute Care Hospital | 719a Se Main St, Simpsonville, SC 29681-3237 | 2014-04-15 |
| 1467871624 | Greenville Health System | General Acute Care Hospital | 109 Fleetwood Dr Ste A, Easley, SC 29640-2019 | 2014-04-15 |
| 1992120851 | Greenville Health System | General Acute Care Hospital | 9 Doctors Dr, Greenville, SC 29605-4266 | 2014-02-28 |
| 1568532513 | Greenville Health System | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2006-11-08 |
| 1962410845 | Greenville Health System | Skilled Nursing Facility | 101 Cottage Creek Cir, Greer, SC 29650-2438 | 2006-08-04 |
| 1811936008 | Greenville Health System | Local Education Agency (LEA) | 875 W Faris Rd, Greenville, SC 29605-4254 | 2006-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREENVILLE HEALTH SYSTEM | 300 E Mcbee Ave Ste 302, Greenville, SC 29601-2899 |
| Street Address |
22725 HIGHWAY 76 E MEDICAL OFFICE BUILDING 3RD FLOOR |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-7527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812314 | Timothy Joseph Blanchat | Internal Medicine | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2005-06-22 |
| 1053910612 | Jennifer Bryson | Pharmacist | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2020-10-23 |
| 1992304182 | Lee Jacobs Dailey | Pharmacist | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2020-10-20 |
| 1780181826 | Derek Mcelreath | Nurse Practitioner | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2018-04-06 |
| 1598214660 | Sarah Anne Beaudelaire | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-09-29 |
| 1205382314 | Upstate Affiliate Organization | Skilled Nursing Facility | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1568918662 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Medical Office Building 3rd Floor, Clinton, SC 29325-7527 | 2016-08-29 |
| 1245786367 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1861844979 | Will Godfrey | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-07-13 |
| 1205203502 | Jennifer White Patterson | Nurse Practitioner | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2015-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| 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 |
|---|---|---|---|---|
| 1326317538 | Pisipati LLC | General Acute Care Hospital | 550 33rd Ave N, Clinton, IA 52732-1585 | 2011-12-16 |
| 1568918662 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Medical Office Building 3rd Floor, Clinton, SC 29325-7527 | 2016-08-29 |
| 1245786367 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1912372913 | Baptist Physical Therapy and Sportscare | General Acute Care Hospital | 108 Clinton Pkwy, Clinton, MS 39056-4730 | 2015-12-02 |
| 1073912945 | Margaret Ramos | General Acute Care Hospital | 100 N 30th St, Clinton, OK 73601-3117 | 2014-08-17 |
| 1043650567 | Greenville Health System | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2013-06-28 |
| 1295904951 | Sampson Regional Medical Center | General Acute Care Hospital | 607 Beaman St, Clinton, NC 28328-2603 | 2008-02-27 |
| 1326172180 | Southern Maryland Hospital Center Lab | General Acute Care Hospital | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2007-03-15 |
| 1699815159 | Laurens County Health Care System | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2007-02-07 |
| 1588703714 | Laurens County Health Care System | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2007-02-05 |
| Find all providers in CLINTON | ||||
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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.