PRISMA HEALTH-UPSTATE (NPI# 1740735513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740735513 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH EMS |
| Practice Address |
1315 Grove Rd Greenville SC 29605-4717 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8642209311 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
216 | SC | Transportation Services |
| Other Name | Type Code |
|---|---|
| GHS Mobile Care Ambulance Srvc | Doing Business As Name - Organization |
| Prisma Health EMS | Doing Business As Name - Organization |
| Prisma Health Mobile Care Ambulance Srvc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1982159877 | Prisma Health-upstate | Clinic/Center | 741 Se Main St, Simpsonville, SC 29681-3237 | 2016-08-20 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1174161806 | Prisma Health-upstate | Clinic/Center | 11082 N Radio Station Rd, Seneca, SC 29678-1142 | 2019-12-12 |
| 1700424439 | Prisma Health-upstate | Clinic/Center | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2019-12-12 |
| 1043857998 | Prisma Health-upstate | Clinic/Center | 103 Whitetail Dr, Walhalla, SC 29691-5837 | 2019-12-10 |
| 1932746815 | Prisma Health-upstate | Clinic/Center | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2019-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prisma Health-Upstate | 300 E Mcbee Ave Suite 500, Greenville, SC 29601 |
| Street Address |
1315 GROVE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124003496 | Greenville Health Corporation | Ambulance | 1315 Grove Rd, Greenville, SC 29605-4717 | 2005-12-09 |
| 1477987295 | Greenville Health System | Ambulance | 1315 Grove Rd, Greenville, SC 29605-4717 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548605025 | Medex Medical Transport Service, Inc. | Ambulance | 1501 N Memorial Dr, Greenville, NC 27834-1202 | 2013-05-09 |
| 1821301326 | Able Care Transport LLC | Ambulance | 96 Lark Dr, Greenville, SC 29609-6817 | 2010-07-26 |
| 1831300763 | Indian Valley Fire and Rescue | Ambulance | 121 Ann St, Greenville, CA 95947 | 2007-05-24 |
| 1295867661 | Town of Smithfield | Ambulance | 607 Putnam Pike, Greenville, RI 02828-2137 | 2007-03-12 |
| 1063584506 | East Wayne County Ambulance District | Ambulance | 105 Sycamore St., Greenville, MO 63944 | 2006-11-13 |
| 1720176340 | Board of Commissioners | Ambulance | 59 Hill Haven Rd, Greenville, GA 30222-3107 | 2006-10-10 |
| 1194750802 | American Medical Response Ambulance Service Inc | Ambulance | 3003 Joe Ramsey Blvd E Ste C, Greenville, TX 75401-7775 | 2006-07-11 |
| 1033155148 | County of Pitt | Ambulance | 1717 W 5th Street, Greenville, NC 27834 | 2006-06-20 |
| 1871530667 | County of Greenville | Ambulance | 301 University Rdg, Suite 1100, Greenville, SC 29601-3664 | 2006-06-01 |
| 1124003496 | Greenville Health Corporation | Ambulance | 1315 Grove Rd, Greenville, SC 29605-4717 | 2005-12-09 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on PRISMA HEALTH-UPSTATE.
| 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.