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Organization
GREENVILLE HEALTH SYSTEM
Active
Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS Mobile Care Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT/CEO)
(864) 455-7978
Entity
Organization
Contact information
Practice address
1315 GROVE RD, GREENVILLE, SC 29605-4717
(864) 220-9311
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
216
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
- - - - - - 7863
TRICARE
SC
01
—
155701100
DOL PROGRAM
SC
05
—
AB0340
—
SC
01
—
P01269789
RAILROAD MEDICARE
SC
01
—
Q450010001
MEDICARE
SC
Enumeration date
08/28/2013
Last updated
06/05/2014
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