| Prisma Health Family & Internal Medicine-seneca | |
|
12016 N Radio Station Rd Seneca SC 29678-1143 | |
| (864) 882-6141 | |
| (864) 882-6680 |
| Full Name | Prisma Health Family & Internal Medicine-seneca |
|---|---|
| Speciality | Clinic/Center |
| Location | 12016 N Radio Station Rd, Seneca, 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 Family & Internal Medicine-seneca 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 455-7000 | Prisma Health Family & Internal Medicine-seneca 12016 N Radio Station Rd Seneca SC 29678-1143 Ph: (864) 882-6141 |
| NPI Number | 1700424439 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 5698063162 |
|---|---|
| Medicare Enrollment ID | O20200410002003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700424439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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