PRISMA HEALTH-UPSTATE (NPI# 1639656713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639656713 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH BAPTIST EASLEY HOSPITAL |
| Practice Address |
200 Fleetwood Dr Easley SC 29640-2022 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644427200 |
| Mailing Telephone | 8647976308 |
| Mailing Fax Number | 8647976198 |
| Enumeration Date | 2018-07-23 |
| 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 | Hospitals |
| Other Name | Type Code |
|---|---|
| GHS Baptist Easley Hospital | Doing Business As Name - Organization |
| Prisma Health Baptist Easley 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 |
200 FLEETWOOD DR |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836974 | Easley M R I L L C | Radiology | 200 Fleetwood Dr, Suite 100, Easley, SC 29640-2022 | 2006-01-26 |
| 1992306914 | Connie Burth | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-11-05 |
| 1609476985 | Pamela Page Polk | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-10-27 |
| 1134728140 | Rhett Powell | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-10-21 |
| 1063044600 | Jacquelyn Nicole Greene | Internal Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-02-11 |
| 1538635057 | Kathryn Lybrand | Dietitian, Registered | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2018-10-23 |
| 1376053298 | Lynn Kelsey Kline | Dietitian, Registered | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-10-05 |
| 1194254318 | Dorothy Warren Shovlin | Nurse Practitioner | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-06-10 |
| 1154859031 | Baptist Easley | Family Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-05-23 |
| 1245767482 | Baptist Easley Hospital | Family Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| 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 |
|---|---|---|---|---|
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1467871624 | Greenville Health System | General Acute Care Hospital | 109 Fleetwood Dr Ste A, Easley, SC 29640-2019 | 2014-04-15 |
| 1720210453 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr., Easley, SC 29640-2022 | 2009-08-13 |
| 1669951364 | Prisma Health-upstate | General Acute Care Hospital | 1807a E Main St, Easley, SC 29640 | 2018-08-13 |
| 1851847974 | Prisma Health-upstate | General Acute Care Hospital | 109 Fleetwood Dr, Suite A, Easley, SC 29640-2019 | 2016-08-29 |
| 1568694057 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-17 |
| 1912139643 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-13 |
| 1285866913 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-13 |
| 1619109345 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-13 |
| 1780891861 | Palmett Health Baptist Easley | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2007-05-17 |
| Find all providers in EASLEY | ||||
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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.