PRISMA HEALTH-UPSTATE (NPI# 1770039885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770039885 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH INFUSION CENTER |
| Practice Address |
701 Grove Rd Greenville SC 29605-4210 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644557000 |
| Enumeration Date | 2016-08-29 |
| 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 | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GHS Infusion Center | Doing Business As Name - Organization |
| Prisma Health Infusion Center | 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 |
701 GROVE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4210 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038848 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 1200 Woodruff Rd Ste G24, Greenville, SC 29607-5735 | 2019-08-14 |
| 1083748933 | Ambulatory Infusion Centers of America | Clinic/Center | 2495 Hemby Ln, Suite A, Greenville, NC 27834-3771 | 2007-03-15 |
| 1033264221 | Pitt County Ambulatory Infusion Center | Clinic/Center | 2495 Hemby Ln, Suite A, Greenville, NC 27834-3771 | 2007-01-25 |
| 1538177019 | Greenville Health System | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1285874925 | Anderson Health & Wellness Center LLC | Clinic/Center | 1510 N Fant St, Anderson, SC 29621-4708 | 2009-02-20 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| 1649359928 | Homechoice Partners, Inc | Clinic/Center | 160 Congress Blvd, Ste D, Duncan, SC 29334-9478 | 2006-11-06 |
| 1932132073 | Palmetto State Staffing Group, LLC | Clinic/Center | 113 Cherokee Rd, Suite 2, Florence, SC 29501-5247 | 2006-07-09 |
| 1730734468 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169-3461 | 2019-08-08 |
| 1043533896 | Mit Ambulatory Care Center | Clinic/Center | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2010-03-09 |
| 1588737498 | Kershaw Hospital LLC | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1194745430 | Anmed Health | Clinic/Center | 800 N Fant St, Anderson, SC 29621-5708 | 2006-07-20 |
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on PRISMA HEALTH-UPSTATE.
| 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.