GREENVILLE HOSPITAL SYSTEM NPI 1548210669

NPI Information

NPI: 1548210669
Provider Name: GREENVILLE HOSPITAL SYSTEM

Doing Business As: PATEWOOD MEDICAL CAMPUS SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
200 PATEWOOD DR
SUITE A20
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-2600
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GREENVILLE HOSPITAL SYSTEM is an ambulatory surgical clinic center in Greenville, SC. GREENVILLE HOSPITAL SYSTEM NPI is 1548210669. The provider is registered as an organization entity type.
The provider Is Doing Business As Patewood Medical Campus Surgery.

The provider's business location address is:

200 PATEWOOD DR
SUITE A20
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-2600

The provider's authorized official is Teresa T. Newsom .
The authorized official title is Cfo, Vp Finance and has the following contact phone number (864) 455-7978.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/2/2012.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	ASF-040	SOUTH CAROLINA	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	=========-030	OTHER	SOUTH CAROLINA	BCBS CRNA
2	20020144	OTHER	SOUTH CAROLINA	SELECT HEALTH
3	=========-067	OTHER	SOUTH CAROLINA	TRICARE
4	AETNA	OTHER	SOUTH CAROLINA	5707057
5	3416	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE
6	GP2418	MEDICAID	SOUTH CAROLINA
7	=========	OTHER	SOUTH CAROLINA	CCP
8	=========	OTHER	SOUTH CAROLINA	CIGNA
9	6228	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE B
10	=========-076	OTHER	SOUTH CAROLINA	BCBS
11	6228	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE

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

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