Prisma Health Primary Care Fountain Inn

LBN: Prisma Health-Upstate
Prisma Health Primary Care Fountain Inn is an health care organization with primary practice located at 200 N. Nelson Drive , Fountain Inn SC 29644. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Prisma Health-Upstate can be contacted via phone (864) 522-6270, or through Miller, Polly H. via phone (864) 522-2286.

Contact Information

Primary practice address
200 N. Nelson Drive Fountain Inn SC 29644
Phone: (864) 522-6270
Fax: (864) 522-6275
Website:
Map and Directions
Authorized official contact:
Name: Miller, Polly H.
Phone: (864) 522-2286

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1205414828
LBN Legal business name Prisma Health-Upstate
DBA Doing business as Prisma Health Primary Care Fountain Inn
Authorized official Miller, Polly H.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2021
Last updated Apr 22nd, 2022 - about 4 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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