GREENVILLE HOSPITAL SYSTEM NPI 1023057502

NPI Information

NPI: 1023057502
Provider Name: GREENVILLE HOSPITAL SYSTEM

Doing Business As: PATEWOOD MEDICAL CAMPUS RADIOLOGY

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
200 PATEWOOD DR
SUITE A16
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-2604
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GREENVILLE HOSPITAL SYSTEM is a radiology clinic center in Greenville, SC. GREENVILLE HOSPITAL SYSTEM NPI is 1023057502. The provider is registered as an organization entity type.
The provider Is Doing Business As Patewood Medical Campus Radiology.

The provider's business location address is:

200 PATEWOOD DR
SUITE A16
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-2604

The provider's authorized official is Teresa T. Newsom .
The authorized official title is Vp Finance/cfo and has the following contact phone number (864) 455-8950.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/17/2018.

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	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

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	=========	OTHER	SOUTH CAROLINA	CIGNA
2	GP2417	MEDICAID	SOUTH CAROLINA
3	=========	OTHER	SOUTH CAROLINA	CAROLINA CARE PLAN
4	=========-044	OTHER	SOUTH CAROLINA	TRICARE
5	5707057	OTHER	SOUTH CAROLINA	AETNA
6	=========	OTHER	SOUTH CAROLINA	BLUE CROSS
7	=========	OTHER	SOUTH CAROLINA	TRICARE
8	=========-049	OTHER	SOUTH CAROLINA	BLUE CHOICE

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: 5/5/2024

NPI Synchronization or Removal

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