<Unavail>
LBN: Prisma Health University Medical Group
<Unavail> is an health care organization with primary practice located at 1025 Verdae Blvd Suite A, Greenville SC 29607-4032. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Prisma Health University Medical Group can be contacted via phone (864) 242-4683, or through Miller, Polly H via phone (864) 522-2286.
Contact Information
Primary practice address
1025 Verdae Blvd Suite A
Greenville SC 29607-4032
Phone: (864) 242-4683
Fax: (864) 240-8104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | South Carolina | |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | South Carolina | |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | South Carolina | |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | South Carolina | |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | South Carolina | |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | South Carolina |
Profile Details
| NPI number | 1083787006 |
|---|---|
| LBN Legal business name | Prisma Health University Medical Group |
| DBA Doing business as | <Unavail> |
| Authorized official | Miller, Polly H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Aug 20th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083787006 | NPPES |
| South Carolina | MEDICAID | GP4671 |
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