Organization
GREENVILLE HEALTH SYSTEM
Active
Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS Roger C Peace
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (CHIEF EXECUTIVE OFFICER)
(864) 797-7808
Entity
Organization
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7716
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
HTL-343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111717
—
SC
01
—
20018230
SELECT HEALTH
SC
05
—
354643
—
SC
01
—
4375381
AETNA
SC
01
—
57-60078963-018
BCBS SUFFIX
SC
01
—
8779659
CIGNA
SC
01
—
CC4268
MEDICARE RAILROAD
SC
Enumeration date
08/04/2006
Last updated
08/17/2018
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