GREENVILLE HEALTH SYSTEM (NPI# 1811936008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811936008 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HEALTH SYSTEM |
| Other Organization Name | DIABETES SELF CARE MGMT PROGRAM |
| Practice Address |
875 W Faris Rd Greenville SC 29605-4254 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644554003 |
| Mailing Telephone | 8647976307 |
| Mailing Fax Number | 8647976198 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-04-18 |
| 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 | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SELECT HEALTH IND ID | 20026599 | 01 |
| SC | DPE050 | 05 | |
| SC | BLUE CROSS | 5334522 | 01 |
| SC | 5334522 | AETNA | 01 |
| Other Name | Type Code |
|---|---|
| Diabetes Self Care MGMT Program | 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 |
| 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 |
875 W FARIS RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285180307 | Prisma Health-upstate | Local Education Agency (LEA) | 875 W Faris Rd, Greenville, SC 29605-4254 | 2016-08-29 |
| 1437560992 | Kendra Wien | Massage Therapist | 875 W Faris Rd, Greenville, SC 29605-4254 | 2014-05-17 |
| 1790126134 | Kayla Wald Anderson | Dietitian, Registered | 875 W Faris Rd, Greenville, SC 29605-4254 | 2013-07-15 |
| 1730493289 | Tara B. Ross | Dietitian, Registered | 875 W Faris Rd, Greenville, SC 29605-4254 | 2010-07-27 |
| 1437391430 | Stephanie A. Neff | Dietitian, Registered | 875 W Faris Rd, Greenville, SC 29605-4254 | 2009-04-06 |
| 1487833687 | Cynthia L. Thomas | Dietitian, Registered | 875 W Faris Rd, Greenville, SC 29605-4254 | 2007-10-24 |
| 1962548057 | Miriam K. Hendricks | Dietitian, Registered | 875 W Faris Rd, Greenville, SC 29605-4254 | 2007-01-29 |
| 1659421949 | Sloan P Martin Jr. | Preventive Medicine | 875 W Faris Rd, Greenville, SC 29605-4254 | 2007-01-11 |
| 1881789642 | Christy Renee Lawlor | Pharmacist | 875 W Faris Rd, Ghs Anticoagulation Clinic-mcc Building, Greenville, SC 29605-4254 | 2006-10-04 |
| 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 | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043672355 | Greenville Area School District | Local Education Agency (LEA) | 9 Donation Rd, Greenville, PA 16125-1789 | 2016-03-25 |
| 1437491255 | Blythe Academy of Languages | Local Education Agency (LEA) | 100 Blythe Dr, Greenville, SC 29605-2055 | 2013-03-19 |
| 1831426006 | Town of Willimantic | Local Education Agency (LEA) | 144 Pritham Avenue, Greenville, ME 04441-0000 | 2009-11-10 |
| 1770724908 | Meriwether County School System | Local Education Agency (LEA) | 2100 Gaston St, Greenville, GA 30222-2847 | 2009-03-18 |
| 1013134410 | Greenville Isd | Local Education Agency (LEA) | 3504 King St, Greenville, TX 75401-5103 | 2007-04-19 |
| 1487774113 | Butler County | Local Education Agency (LEA) | 215 Administrative Dr, Greenville, AL 36037-1870 | 2007-03-29 |
| 1336263185 | Reynolds School District | Local Education Agency (LEA) | 531 Reynolds Rd, Greenville, PA 16125-8889 | 2007-03-19 |
| 1831233485 | The Phoenix Charter School | Local Education Agency (LEA) | 8501 Jack Finney Blvd, Greenville, TX 75402-3018 | 2007-02-16 |
| 1386781300 | Greenville Central School District | Local Education Agency (LEA) | 4976 State Route 81, Greenville, NY 12083-0129 | 2007-01-31 |
| 1285731380 | Bond County Community Unit No. 2 | Local Education Agency (LEA) | 1008 N Hena St, Greenville, IL 62246-1378 | 2006-09-20 |
| 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.