GREENVILLEHEALTH SYSTEM NPI 1629017983

NPI Information

NPI: 1629017983
Provider Name: GREENVILLEHEALTH SYSTEM

Other Name: GHS MARSHALL I PICKENS - CHILDRENS

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
701 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-8988
Get Directions

GREENVILLEHEALTH SYSTEM is a residential treatment facility emotionally disturbed children in Greenville, SC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. GREENVILLEHEALTH SYSTEM NPI is 1629017983. The provider is registered as an organization entity type.
The provider Other Name Is Ghs Marshall I Pickens - Childrens.

The provider's business location address is:

701 GROVE RD
GREENVILLE, SC
ZIP 29605-611
Phone: (864) 455-8988

The provider's authorized official is Michael C. Riordan .
The authorized official title is President / Ceo and has the following contact phone number (864) 797-7808.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 9/30/2015.

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
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		RTF-007	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RTF007	MEDICAID	SOUTH CAROLINA
2	=========	OTHER	SOUTH CAROLINA	CIGNA
3	=========	OTHER	SOUTH CAROLINA	CAROLINA CARE PLAN
4	=========	OTHER	SOUTH CAROLINA	UHC

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: 11/14/2023

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