GREENVILLE HEALTH SYSTEM (NPI# 1417907924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417907924 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HEALTH SYSTEM |
| Other Organization Name | GHS GREENVILLE MEM SUBACUTE |
| Practice Address |
807 N Main St Travelers Rest SC 29690-1551 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8648345132 |
| Mailing Telephone | 8647976307 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-08-17 |
| 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 | 284300000X | Special Hospital | NCF-690 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 111717 | 05 | |
| SC | MEDICARE ID | 42-5383 | 01 |
| SC | CIGNA | 4697323 | 01 |
| Other Name | Type Code |
|---|---|
| GHS Greenville Mem Subacute | 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 |
807 N MAIN ST |
| City | TRAVELERS REST |
| State | SC |
| Zip Code | 29690-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951550 | Dina C Graham | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-10-28 |
| 1376142992 | Dinah Jankovic | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-10-24 |
| 1336767730 | Audrey Denise Goodjoin | Nurse Practitioner | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-07-12 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1427504554 | Prisma Health-upstate | Long Term Care Hospital | 807 N Main St, Travelers Rest, SC 29690-1551 | 2016-08-29 |
| 1376752410 | Laura H. Turman | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2007-05-22 |
| 1952445207 | Katherine Gosnell Morgan | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2007-02-19 |
| 1982657953 | Greenville Health System | Long Term Care Hospital | 807 N Main St, Travelers Rest, SC 29690-1551 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063709 | Act Medical Transport Services LLC | Private Vehicle | 316 Poplar St Ext, Travelers Rest, SC 29690 | 2020-11-04 |
| 1881180297 | Tonya Cheeks | Home Health Aide | 20 S Poinsett Hwy Ste C, Travelers Rest, SC 29690 | 2018-07-09 |
| 1811391683 | Dialysis Newco, Inc | Clinic/Center | 36 South Main Street, Travelers Rest, SC 29690 | 2014-10-22 |
| 1356762835 | Maura Smith | Pharmacist | 1500 Seer Highway Ingles Pharmacy, Travelers Rest, SC 29690 | 2013-12-30 |
| 1174873400 | Regena Leeann Morgan | Pharmacist | 200 Hwy 25 North, Travelers Rest, SC 29690 | 2012-09-13 |
| 1316187040 | William Matthew Fisher | Psychiatry & Neurology | One Havenwood Lane, Travelers Rest, SC 29690 | 2009-02-20 |
| 1437303625 | Deborah Ann Arnold | Speech-Language Pathologist | 130 Echo Lane, Travelers Rest, SC 29690 | 2008-11-14 |
| 1124299375 | Preserve Health, Pa | Family Medicine | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-03-17 |
| 1962627372 | Mcleskey Todd Pharmacy of Travelers Rest, Inc | Durable Medical Equipment & Medical Supplies | 32 South Main St, Travelers Rest, SC 29690 | 2007-04-13 |
| 1730231408 | Jon Michael Julian | Dentist | 125 Botanical Circle, Travelers Rest, SC 29690 | 2007-01-16 |
| Find all providers in zip 29690 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104863331 | Intermedical Hospital of South Carolina Inc | Special Hospital | Taylor @ Marion Sts, Columbia, SC 29220-0001 | 2006-05-31 |
| 1871049973 | Prisma Health-upstate | Special Hospital | 701 Grove Rd, Greenville, SC 29605-4210 | 2016-08-29 |
| 1982060570 | Intermedical Hospital of South Carolina | Special Hospital | 1519 Marion St, Columbia, SC 29201-2910 | 2016-01-12 |
| 1265682991 | Department of Veterans Affairs | Special Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2008-09-30 |
| City | TRAVELERS REST |
| Zip Code | 29690 |
Please comment or provide details below to improve the information on GREENVILLE HEALTH SYSTEM.
| 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.