PRISMA HEALTH-UPSTATE NPI 1215617097

NPI Information

  • NPI: 1215617097
  • Provider Name: PRISMA HEALTH-UPSTATE
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: PRISMA HEALTH PEDIATRICS-SENECA
  • Address: 109 OMNI DR STE B
    SENECA, SC
    ZIP 29672
  • Phone: (864) 888-4222

Map and Directions

Get Directions

NPI Details

PRISMA HEALTH-UPSTATE is a multi-specialty clinic center in Seneca, SC. PRISMA HEALTH-UPSTATE NPI is 1215617097. The provider is registered as an organization entity type.
The provider Is Doing Business As Prisma Health Pediatrics-seneca.

The provider's business location address is:

109 OMNI DR STE B
SENECA, SC
ZIP 29672-448
Phone: (864) 888-4222
Fax: (864) 888-0023

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 enumeration date for this NPI number is 7/18/2023 and was last updated on 10/12/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI