PRISMA HEALTH-UPSTATE NPI 1407502313

NPI Information

PRISMA HEALTH-UPSTATE is a rural health clinic center in Anderson, SC. PRISMA HEALTH-UPSTATE NPI is 1407502313. The provider is registered as an organization entity type.

The provider's business location address is:

4532 LIBERTY HWY
ANDERSON, SC
ZIP 29621-327
Phone: (864) 885-7935

The provider's authorized official is Polly H. Miller .
The authorized official title is Svp Finance, Enterprise Contracting and has the following contact phone number (864) 522-2286.

The CLIA number assigned to this NPI record is 42D1044302 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/1/2022 and was last updated on 3/1/2022.

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:

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