PELHAM MEDICAL CENTER NPI 1962644773

NPI Information

NPI: 1962644773
Provider Name: PELHAM MEDICAL CENTER
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Doing Business As: PELHAM MEDICAL CENTER PROFESSIONAL SERVICES
Address: 250 WESTMORELAND RD
GREER, SC
ZIP 29651
Phone: (864) 530-2108

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NPI Details

PELHAM MEDICAL CENTER is a cardiovascular disease internal medicine in Greer, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PELHAM MEDICAL CENTER NPI is 1962644773. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pelham Medical Center Professional Services.

The provider's business location address is:

250 WESTMORELAND RD
GREER, SC
ZIP 29651-013
Phone: (864) 530-2108
Fax: (864) 530-2121

The provider's authorized official is Kenneth Meinke .
The authorized official title is Cfo and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 7/10/2024.

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	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes
4	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
5	207RI0011X	Internal Medicine	Interventional Cardiology	No
6	207RI0200X	Internal Medicine	Infectious Disease	No
7	208600000X	Surgery		No
8	2086S0129X	Surgery	Vascular Surgery	No
9	363L00000X	Nurse Practitioner		No
10	367500000X	Nurse Anesthetist, Certified Registered		No

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	GP5160	MEDICAID	SOUTH CAROLINA

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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