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PREMISE HEALTH OF SOUTH CAROLINA MEDICAL P.C NPI 1295157139


NPI Information

NPI: 1295157139
Provider Name: PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C

Doing Business As: GREENVILLE EMPLOYEE HEALTH AND WELLNESS CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 42D2179818

Address:
552 HYATT STREET
GREENVILLE, SC
ZIP 29615
Phone: (615) 468-6548
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PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C is a clinic center in Greenville, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C NPI is 1295157139. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenville Employee Health And Wellness Center.

The provider's business location address is:

552 HYATT STREET
GREENVILLE, SC
ZIP 29615-614
Phone: (615) 468-6548
Fax: (615) 468-0477

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 42D2179818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2014 and was last updated on 8/23/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 5/5/2024

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.