PRISMA HEALTH-UPSTATE NPI 1427504554

NPI Information

  • NPI: 1427504554
  • Provider Name: PRISMA HEALTH-UPSTATE
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • Doing Business As: PRISMA HEALTH NORTH GREENVILLE LTACH
  • CLIA Number: 42D2153451
  • Address: 807 N MAIN ST
    TRAVELERS REST, SC
    ZIP 29690
  • Phone: (864) 834-5132

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NPI Details

PRISMA HEALTH-UPSTATE is a long term care hospital in Travelers Rest, SC. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. PRISMA HEALTH-UPSTATE NPI is 1427504554. The provider is registered as an organization entity type.
The provider Is Doing Business As Prisma Health North Greenville Ltach.

The provider's business location address is:

807 N MAIN ST
TRAVELERS REST, SC
ZIP 29690-551
Phone: (864) 834-5132

The provider's authorized official is Polly H. Miller .
The authorized official title is Vp Payor Strategies & Alignment and has the following contact phone number (864) 522-2286.

The CLIA number assigned to this NPI record is 42D2153451 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 2/4/2021.

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
1282E00000XLong Term Care HospitalHTL-0935SOUTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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