GREENVILLE HEALTH SYSTEM (NPI# 1457771511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457771511 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HEALTH SYSTEM |
| Other Organization Name | GHS OB/GYN CLINIC |
| Practice Address |
1120 Grove Rd Ste B Greenville SC 29605-4652 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644556444 |
| Mailing Telephone | 8647976306 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2015-01-15 |
| NPI Deactivation Date | 01/05/2015 |
| NPI Reactivation Date | 2015-01-15 |
| Authorized Official Name | MICHAEL C. RIORDAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8644557978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HTL-343 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE RAILROAD | CI4624 | 01 |
| SC | 400783 | 05 | |
| SC | MEDICARE RAILROAD | CD7464 | 01 |
| SC | CLIA | 42D0665869 | 01 |
| SC | 111717 | 05 | |
| SC | 354643 | 05 | |
| SC | MEDICARE RAILROAD | CB9553 | 01 |
| SC | AETNA | 6510325 | 01 |
| SC | GP2859 | 05 |
| Other Name | Type Code |
|---|---|
| GHS OB/GYN CLINIC | 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 |
| 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 |
| 1952351249 | Greenville Health System | Clinic/Center | 100 Augusta St, Greenville, SC 29601-3504 | 2006-05-10 |
| 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 |
1120 GROVE RD STE B |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4652 |
| 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 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1548716665 | Upstate Affiliate Organization | General Acute Care Hospital | 200 Andrews St, Suite 100, Greenville, SC 29601-3969 | 2016-08-29 |
| 1770903833 | Greenville Health System | General Acute Care Hospital | 13 Edgewood Dr, Greenville, SC 29605-4235 | 2014-04-16 |
| 1992120851 | Greenville Health System | General Acute Care Hospital | 9 Doctors Dr, Greenville, SC 29605-4266 | 2014-02-28 |
| 1376899856 | St. Francis Hospital, Inc. | General Acute Care Hospital | 209 Patewood Dr Ste 300, Greenville, SC 29615-3592 | 2012-08-02 |
| 1598830697 | Oral Surgery Associates,pa | General Acute Care Hospital | 10 Enterprise Blvd Ste 209, Greenville, SC 29615-3554 | 2006-11-22 |
| 1568532513 | Greenville Health System | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2006-11-08 |
| 1942386578 | Wj Barge Memorial Hospital | General Acute Care Hospital | 1700 Wade Hampton Blvd, Greenville, SC 29614-1000 | 2006-10-27 |
| 1457304495 | Spectrum Health United | General Acute Care Hospital | 615 S Bower St, Greenville, MI 48838-2614 | 2006-05-19 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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.