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Organization
GREENVILLE HEALTH SYSTEM
Active
Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS Cardiovascular SVCS Grnv
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT/CEO)
(864) 797-7808
Entity
Organization
Contact information
Practice address
3 BUTTERNUT DR, SUITE B4, GREENVILLE, SC 29605-4655
(864) 455-6900
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111717
—
SC
05
—
354643
—
SC
05
—
400783
—
SC
01
—
42D0665869
CLIA
SC
01
—
6510325
AETNA
SC
01
—
CB9553
MEDICARE RAILROAD
SC
01
—
CD7464
MEDICARE RAILROAD
SC
01
—
CI4624
MEDICARE RAILROAD
SC
05
—
GP2859
—
SC
Enumeration date
04/16/2014
Last updated
09/09/2016
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