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GREENVILLE HEALTH SYSTEM NPI 1083790018


NPI Information

NPI: 1083790018
Provider Name: GREENVILLE HEALTH SYSTEM

Doing Business As: WONDER CENTER

Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

Address:
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 331-1380
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GREENVILLE HEALTH SYSTEM is a medically fragile infants and children day care clinic center in Greenville, SC. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). GREENVILLE HEALTH SYSTEM NPI is 1083790018. The provider is registered as an organization entity type.
The provider Is Doing Business As Wonder Center.

The provider's business location address is:

29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601-629
Phone: (864) 331-1380
Fax: (864) 331-1418

The provider's authorized official is Michael C. Riordan .
The authorized official title is President / Ceo and has the following contact phone number (864) 797-7808.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 4/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP0095MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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