Prisma Health-Upstate

Organization Active NPI General Acute Care Hospital · Simpsonville, SC

NPI 1003626326 · NPPES record last updated Jan 9, 2025

Key facts

NPI
1003626326
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
PRISMA HEALTH-UPSTATE
Practice address
727 SE Main St Ste 180
Simpsonville, SC 29681-3248
Phone
(864) 455-7000
NPI assigned
Jan 9, 2025
Organization subpart
No

Authorized official

Name
Kristi Ann Lawrence
Title
Director & Cvo
Phone
(864) 522-8611

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Upstate Affiliate Org (121 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

727 SE Main St Ste 180
Simpsonville, SC 29681-3248

Mailing address

PO Box 402121
Atlanta, GA 30384-2121
Phone (864) 454-9604

Other names

  • Prisma Health Infusion Center - Hillcrest Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2025.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1003626326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842121",
            "telephone_number": "864-454-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SE MAIN ST STE 180",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813248",
            "telephone_number": "864-455-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-UPSTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR & CVO",
        "authorized_official_telephone_number": "864-522-8611"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Infusion Center - Hillcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

All providers in Simpsonville, SC · General Acute Care Hospital in South Carolina

Sources for this page

Verify at the official NPI Registry.