PAVILLON GREENVILLE OUTPATIENT SERVICES (NPI# 1780934976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780934976 |
Entity Type | Organization |
Organization Name | PAVILLON GREENVILLE OUTPATIENT SERVICES |
Practice Address |
101 Pelham Commons Blvd Greenville SC 29615-4974 |
Practice Telephone | 8642416688 |
Practice Fax Number | 8642416682 |
Mailing Telephone | 8642416688 |
Mailing Fax Number | 8642416682 |
Enumeration Date | 2012-09-14 |
Last Update Date | 2015-03-11 |
Authorized Official Name | MS. NATALIE FRYAR (PROGRAM MANAGER) |
Authorized Official Telephone | 8642416688 |
Authorized Official Credential | LPC, CACII |
Is Organization Subpart | Y |
Parent Organization Name | PAVILLON INTERNATIONAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OTP 0102 | SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NPI | 1023345139 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023345139 | Pavillon Greenville Outpatient Services | Clinic/Center | 125 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2009-11-10 |
Street Address |
101 PELHAM COMMONS BLVD |
City | GREENVILLE |
State | SC |
Zip Code | 29615-4974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811314735 | Joseph G. Feleppa, LLC | Social Worker | 101 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2014-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1891795738 | Greenville County Commission On Alcohol and Drug Abuse | Clinic/Center | 1400 Cleveland St, Greenville, SC 29607-2410 | 2005-07-21 |
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1023345139 | Pavillon Greenville Outpatient Services | Clinic/Center | 125 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2009-11-10 |
1457417289 | Addiction Treatment Resources, LLC | Clinic/Center | 4702 Wesley St Ste D, Greenville, TX 75401-5663 | 2006-12-28 |
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1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
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1437383403 | Center for Behavioral Health South Carolina, Inc | Clinic/Center | 2301 Cosgrove Ave Ste F, North Charleston, SC 29405-7663 | 2009-05-06 |
1376691022 | Saluda County Alcohol & Drug Abuse Comm | Clinic/Center | 204 N Ramage St, Saluda, SC 29138-1359 | 2007-01-08 |
1487665055 | Fairfield Behavioral Health Services | Clinic/Center | 178 Us Highway 321 Bypass N., Winnsboro, SC 29180 | 2006-08-10 |
1053340273 | Greenwood-edgefield-mccormick-abbeville Commission On Alcohol and Drug | Clinic/Center | 1420 Spring St, Greenwood, SC 29646-4057 | 2006-07-01 |
1972532075 | Laurens County Commission On Alcohol and Drug Abuse | Clinic/Center | 219 Human Services Road, Clinton, SC 29325 | 2006-07-01 |
1972574101 | The Ernest E. Kennedy Center | Clinic/Center | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2006-01-27 |
1134127475 | Pickens County Commission On Alcohol & Drug Abuse | Clinic/Center | 309 E Main St, Pickens, SC 29671-2319 | 2005-07-11 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 29615 |
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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.