Prisma Health-Upstate
Organization Active NPI Multi-Specialty Clinic/Center · Greenville, SC
NPI 1265112072 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1265112072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PRISMA HEALTH-UPSTATE
- Practice address
- 15 Roe Rd
Greenville, SC 29611-7423 - Phone
- (864) 295-2308
- Fax
- (864) 295-0396
- NPI assigned
- Jul 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Polly H. Miller
- Title
- SVP Finance, Enterprise Contracting
- Phone
- (864) 522-2286
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Upstate Affiliate Org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
15 Roe Rd
Greenville, SC 29611-7423
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8613
Other names
- Prisma Health Family Medicine-Powdersville
Other providers in Greenville, SC
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
All providers in Greenville, SC · Multi-Specialty Clinic/Center 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 Oct 11, 2023. 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.