Greenville Health Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0306710001 Issued in SC

Legal business name

GREENVILLE HEALTH CORPORATION

Practice address

1009 Grove Rd
Building C
Greenville, SC 29605-4600

Phone

(864) 255-9300

NPI assigned

Dec 14, 2005

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

VP Payor Strategies & Alignment

Phone

(864) 522-2286

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Equipped for Life Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1578044053

  Member Of

  NPD member

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1366427015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-255-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 GROVE RD",
            "address_2": "BUILDING C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054600",
            "telephone_number": "864-255-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "VP PAYOR STRATEGIES & ALIGNMENT",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "0306710001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME476",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equipped for Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Equipped for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation
• Greenville Health Corporation

• All providers in Greenville, SC
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.