Prisma Health-Upstate

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-0990 Issued in SC

Legal business name

PRISMA HEALTH-UPSTATE

Practice address

101 Lila Doyle Dr
Seneca, SC 29672-9495

Phone

(864) 885-7678

NPI assigned

Aug 23, 2016

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 names 1

• Prisma Health Lila Doyle 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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1720533474",
    "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": "864-455-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LILA DOYLE DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729495",
            "telephone_number": "864-885-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-UPSTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-0990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Lila Doyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prisma Health-Upstate
• Prisma Health-Upstate
• Prisma Health-Upstate
• Prisma Health-Upstate
• Prisma Health-Upstate
• Prisma Health-Upstate
• Prisma Health-Upstate
• Prisma Health-Upstate
• Mallory M Prosser, PT, DPT
• Prosthetic Care of Anderson, LLC

• Skilled Nursing Facility in Seneca, SC
• Providers in Seneca, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.