GREENVILLE HEALTH SYSTEM (NPI# 1467871624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467871624 |
Entity Type | Organization |
Organization Name | GREENVILLE HEALTH SYSTEM |
Other Organization Name | GHS CANCER INST-EASLEY |
Practice Address |
109 Fleetwood Dr Ste A Easley SC 29640-2019 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8648552780 |
Mailing Telephone | 8647976306 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2015-01-15 |
NPI Deactivation Date | 01/05/2015 |
NPI Reactivation Date | 2015-01-15 |
Authorized Official Name | MICHAEL C. RIORDAN (PRESIDENT/CEO) |
Authorized Official Telephone | 8644557978 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | HTL-343 | SC | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 354643 | 05 | |
SC | CLIA | 42D0665869 | 01 |
SC | AETNA | 6510325 | 01 |
SC | MEDICARE RAILROAD | CB9553 | 01 |
SC | MEDICARE RAILROAD | CD7464 | 01 |
SC | 111717 | 05 | |
SC | GP2859 | 05 | |
SC | 400783 | 05 | |
SC | MEDICARE RAILROAD | CI4624 | 01 |
Other Name | Type Code |
---|---|
GHS CANCER INST-EASLEY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972952588 | Greenville Health System | PACE Provider Organization | 32 Stoney Point Dr, Greenville, SC 29605-4628 | 2016-06-06 |
1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
1770903833 | Greenville Health System | General Acute Care Hospital | 13 Edgewood Dr, Greenville, SC 29605-4235 | 2014-04-16 |
1457771511 | Greenville Health System | General Acute Care Hospital | 1120 Grove Rd Ste B, Greenville, SC 29605-4652 | 2014-04-16 |
1679992838 | Greenville Health System | General Acute Care Hospital | 719a Se Main St, Simpsonville, SC 29681-3237 | 2014-04-15 |
1992120851 | Greenville Health System | General Acute Care Hospital | 9 Doctors Dr, Greenville, SC 29605-4266 | 2014-02-28 |
1568532513 | Greenville Health System | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2006-11-08 |
1962410845 | Greenville Health System | Skilled Nursing Facility | 101 Cottage Creek Cir, Greer, SC 29650-2438 | 2006-08-04 |
1811936008 | Greenville Health System | Local Education Agency (LEA) | 875 W Faris Rd, Greenville, SC 29605-4254 | 2006-06-05 |
1952351249 | Greenville Health System | Clinic/Center | 100 Augusta St, Greenville, SC 29601-3504 | 2006-05-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GREENVILLE HEALTH SYSTEM | 300 E Mcbee Ave Ste 302, Greenville, SC 29601-2899 |
Street Address |
109 FLEETWOOD DR STE A |
City | EASLEY |
State | SC |
Zip Code | 29640-2019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740809458 | Rebecca Rich | Nurse Practitioner | 109 Fleetwood Dr Ste A, Easley, SC 29640-2019 | 2020-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
Find all providers in zip 29640 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
1720210453 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr., Easley, SC 29640-2022 | 2009-08-13 |
1669951364 | Prisma Health-upstate | General Acute Care Hospital | 1807a E Main St, Easley, SC 29640 | 2018-08-13 |
1639656713 | Prisma Health-upstate | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2018-07-23 |
1851847974 | Prisma Health-upstate | General Acute Care Hospital | 109 Fleetwood Dr, Suite A, Easley, SC 29640-2019 | 2016-08-29 |
1568694057 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-17 |
1912139643 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-13 |
1285866913 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-13 |
1619109345 | Baptist Easley Hospital | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-08-13 |
1780891861 | Palmett Health Baptist Easley | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2007-05-17 |
Find all providers in EASLEY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.