| Greenwood Regional Rehabilitation Hospital Llc | |
|
1530 Parkway Greenwood SC 29646-4027 | |
| (505) 856-5300 | |
| Not Available |
| Full Name | Greenwood Regional Rehabilitation Hospital Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1530 Parkway, Greenwood, South Carolina |
| Authorized Official Name and Position | Denise Kann (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 9722162299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwood Regional Rehabilitation Hospital Llc 1024 N Galloway Ave Ste 102 Mesquite TX 75149-2434 Ph: (972) 216-2299 | Greenwood Regional Rehabilitation Hospital Llc 1530 Parkway Greenwood SC 29646-4027 Ph: (505) 856-5300 |
| NPI Number | 1407628829 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 4880783844 |
|---|---|
| Medicare Enrollment ID | O20240119003410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407628829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David S Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598720112 PECOS PAC ID: 8426238817 Enrollment ID: I20110201000805 |
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