PRISMA HEALTH-UPSTATE NPI 1891237632

NPI Information

  • NPI: 1891237632
  • Provider Name: PRISMA HEALTH-UPSTATE
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Doing Business As: PRISMA HEALTH OCONEE PAIN MANAGEMENT
  • CLIA Number: 42D2327708
  • Address: 102B OMNI DR
    SENECA, SC
    ZIP 29672
  • Phone: (864) 885-7971

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NPI Details

PRISMA HEALTH-UPSTATE is a pain clinic center in Seneca, SC. PRISMA HEALTH-UPSTATE NPI is 1891237632. The provider is registered as an organization entity type.
The provider Is Doing Business As Prisma Health Oconee Pain Management.

The provider's business location address is:

102B OMNI DR
SENECA, SC
ZIP 29672
Phone: (864) 885-7971
Fax: (864) 885-7860

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 42D2327708 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 2/5/2021.

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
1261QP3300XClinic/CenterPainYes

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: 11/21/2025

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