| Prisma Health-upstate | |
|
15 Roe Rd Greenville SC 29611-7423 | |
| (864) 295-2308 | |
| (864) 295-0396 |
| Full Name | Prisma Health-upstate |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Roe Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Polly H. Miller (VP PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health-upstate 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 455-7000 | Prisma Health-upstate 15 Roe Rd Greenville SC 29611-7423 Ph: (864) 295-2308 |
| NPI Number | 1972186096 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 5698063162 |
|---|---|
| Medicare Enrollment ID | O20211221003003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972186096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cooke's Continence Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330-c Pelham Road, Suite B-102, Greenville, SC 29615 Phone: 864-412-8424 Fax: 864-412-8012 | |
Aid Upstate Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 Pendleton St, Suite 11, Greenville, SC 29601 Phone: 864-250-0607 Fax: 864-250-0608 | |
Midtown Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Pointe Cir, Greenville, SC 29615 Phone: 864-525-5400 | |
Center For Adult And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Tanner Rd, Greenville, SC 29607 Phone: 864-627-1220 Fax: 864-627-1221 | |
Greenville Functional Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Halton Rd, Suite A, Greenville, SC 29607 Phone: 864-558-0200 Fax: 864-520-1245 | |
The Wellness Center Operated By Premise Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Terminal Rd Bldg 1045, Greenville, SC 29605 Phone: 864-299-7193 Fax: 864-299-7639 | |
H And M Labs And Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Commons Way, Greenville, SC 29611 Phone: 864-979-0846 |