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
National Provider Directory
- Tax ID family
- Upstate Affiliate Org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Martin Samuel Price
- Melissa Price
- Tyonna Nicole Price
- Prime Home Care Service
- Prisma Health University Medical Group
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Private Healthcare Facilities
All providers in Simpsonville, SC · General Acute Care Hospital in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.