Prisma Health-Upstate

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PRISMA HEALTH-UPSTATE

Doing business as

Prisma Health Oconee Memorial EMS

Practice address

300 Memorial Dr
Seneca, SC 29672-9443

Phone

(864) 885-7156

NPI assigned

Jul 20, 2016

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Polly H. Miller

Title

SVP Finance, Enterprise Contracting

Phone

(864) 522-2286

Specialties & licenses 1

Addresses

Other names 1

• Prisma Health Oconee Memorial EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prisma Health-Upstate

  dba Prisma Health EMS

  • Land Ambulance
  • Greenville, SC
  • NPI 1740735513

  O20161117002062

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All facility ownership & control disclosures 27

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1295188704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEMORIAL DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729443",
            "telephone_number": "864-885-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-UPSTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SVP FINANCE, ENTERPRISE CONTRACTING",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Oconee Memorial EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prisma Health-Upstate (Prisma Health Oconee Memorial Hospital)
• Prisma Health-Upstate (Prisma Health Hospice of the Foothills)
• Prisma Health-Upstate (Prisma Health Blue Ridge Women's Center)
• Prisma Health-Upstate (Prisma Health Seneca Medical Associates)
• Prisma Health-Upstate (Prisma Health Pediatrics-Seneca)
• Prisma Health-Upstate (Prisma Health Center For Family Medicine-Oconee)
• Prisma Health-Upstate (Prisma Health Pediatrics-Seneca)
• Prisma Health-Upstate (Prisma Health Mountain Lakes Family Medicine)
• Prisma Health-Upstate (Prisma Health Seneca Medical Associates)
• Prisma Health-Upstate (Prisma Health Family & Internal Medicine-Seneca)

• Land Ambulance in Seneca, SC
• Providers in Seneca, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.