# GREENVILLE HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Care Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124003496
- **Authorized official:** POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
- **Authorized official phone:** (864) 522-2286

## Contact information

- **Practice address:** 1315 GROVE RD, GREENVILLE, SC 29605-4717
- **Practice address phone:** (864) 220-9311
- **Mailing address:** PO BOX 863, LEWISVILLE, NC 27023-0863
- **Mailing address phone:** (800) 948-7991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 216 | SC | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 04/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590007346 | RAILROAD MEDICARE PROV NO | SC |
| 05 | — | AB0098 | — | SC |