Prisma Health Primary Care North Greenville | |
807 N Main St Travelers Rest SC 29690-1551 | |
(864) 455-9261 | |
(864) 455-9264 |
Full Name | Prisma Health Primary Care North Greenville |
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Speciality | Clinic/Center |
Location | 807 N Main St, Travelers Rest, South Carolina |
Authorized Official Name and Position | Polly H. Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prisma Health Primary Care North Greenville 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 522-8613 | Prisma Health Primary Care North Greenville 807 N Main St Travelers Rest SC 29690-1551 Ph: (864) 455-9261 |
NPI Number | 1205459443 |
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Provider Enumeration Date | 05/22/2020 |
Last Update Date | 05/01/2024 |
Medicare PECOS PAC ID | 5698063162 |
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Medicare Enrollment ID | O20210709000556 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205459443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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