PRISMA HEALTH-UPSTATE (NPI# 1902352008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902352008 |
Entity Type | Organization |
Organization Name | PRISMA HEALTH-UPSTATE |
Other Organization Name | PRISMA HEALTH CANCER INST-SPARTANBURG |
Practice Address |
120 Dillon Dr Spartanburg SC 29307-1018 |
Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4536 |
Practice Telephone | 8646995700 |
Enumeration Date | 2016-08-29 |
Last Update Date | 2020-04-14 |
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 | 282N00000X | General Acute Care Hospital | HTL-0936 | SC | Hospitals |
Other Name | Type Code |
---|---|
GHS Cancer Inst-Spartanburg | Doing Business As Name - Organization |
Prisma Health Cancer Inst-Spartanburg | 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 |
120 DILLON DR |
City | SPARTANBURG |
State | SC |
Zip Code | 29307-1018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285639310 | Kim Hont Aramburo Yee | Internal Medicine | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2005-06-16 |
1275953218 | Greenville Health System | General Acute Care Hospital | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2014-04-17 |
1831202480 | Christopher Reid Thomas | Internal Medicine | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2006-08-17 |
1154374353 | Terese Lynn Howes | Radiology | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2006-05-18 |
1417912361 | George A. Trivette | Radiology | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2006-04-20 |
1336110113 | Ki Young Chung | Internal Medicine | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
Find all providers in zip 29307 |
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 |
---|---|---|---|---|
1699790485 | Spartanburg Hospital for Restorative Care | General Acute Care Hospital | 389 Serpentine Dr, Spartanburg, SC 29303-3026 | 2006-07-13 |
1629432869 | Prisma Health-upstate | General Acute Care Hospital | 1413 John B White Sr Blvd, Suite D, Spartanburg, SC 29306-3995 | 2016-04-13 |
1518376342 | Spartanburg Regional Healthcare Systems | General Acute Care Hospital | 101 E. Wood Street, Spartanburg, SC 29303-3098 | 2014-08-06 |
1275953218 | Greenville Health System | General Acute Care Hospital | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2014-04-17 |
1790001659 | Spartanburg Regional | General Acute Care Hospital | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2010-04-15 |
1285891960 | Lung and Chest Medical Associates | General Acute Care Hospital | 2030 North Church Place, Spartanburg, SC 29303 | 2008-05-20 |
1669425963 | Mary Black Health System LLC | General Acute Care Hospital | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2006-05-18 |
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 |
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 |
1275066821 | Travis B Grindstaff | General Acute Care Hospital | 411 Polifka Dr, Shaw Afb, SC 29152 | 2017-04-10 |
1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
1548716665 | Upstate Affiliate Organization | General Acute Care Hospital | 200 Andrews St, Suite 100, Greenville, SC 29601-3969 | 2016-08-29 |
1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
1952756124 | University of Florida | General Acute Care Hospital | 1537 Theresa Dr, Apt A, Charleston, SC 29412-3242 | 2016-04-25 |
1831550060 | Lexington Medical Center | General Acute Care Hospital | 146 N Hospital Dr Ste 310, West Columbia, SC 29169-4800 | 2016-03-16 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29307 |
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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.