# GREENVILLE HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1477987295
- **Authorized official:** MICHAEL C. RIORDAN (PRESIDENT/CEO)
- **Authorized official phone:** (864) 455-7978

## Contact information

- **Practice address:** 1315 GROVE RD, GREENVILLE, SC 29605-4717
- **Practice address phone:** (864) 220-9311
- **Mailing address:** 1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
- **Mailing address phone:** (864) 797-6307

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 06/05/2014

## 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 |