PRISMA HEALTH-UPSTATE NPI 1609556489

NPI Information

  • NPI: 1609556489
  • Provider Name: PRISMA HEALTH-UPSTATE
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: PRISMA HEALTH PRIMARY CARE NORTH GREENVILLE
  • Address: 807 N MAIN ST
    TRAVELERS REST, SC
    ZIP 29690
  • Phone: (864) 455-9150

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NPI Details

PRISMA HEALTH-UPSTATE is a multi-specialty clinic center in Travelers Rest, SC. PRISMA HEALTH-UPSTATE NPI is 1609556489. The provider is registered as an organization entity type.
The provider Is Doing Business As Prisma Health Primary Care North Greenville.

The provider's business location address is:

807 N MAIN ST
TRAVELERS REST, SC
ZIP 29690-551
Phone: (864) 455-9150
Fax: (864) 455-9236

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 5/1/2024.

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

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