Patewood Medical Campus Radiology

LBN: Greenville Hospital System
Patewood Medical Campus Radiology is an health care organization with primary practice located at 200 Patewood Dr Suite A16, Greenville SC 29615-3593. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Greenville Hospital System can be contacted via phone (864) 454-2604, or through Newsom, Teresa T. via phone (864) 455-8950.

Contact Information

Primary practice address
200 Patewood Dr Suite A16 Greenville SC 29615-3593
Phone: (864) 454-2604
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Newsom, Teresa T.
Phone: (864) 455-8950

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1023057502
LBN Legal business name Greenville Hospital System
DBA Doing business as Patewood Medical Campus Radiology
Authorized official Newsom, Teresa T.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023057502 NPPES
South Carolina Other 5707057 AETNA
South Carolina MEDICAID GP2417 AETNA

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