Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS CANCER INST - LAURENS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT / CEO)
(864) 797-7808
Entity
Organization
Contact information
Practice address
22725 HIGHWAY 76 E, MEDICAL OFFICE BUILDING 3RD FLOOR, CLINTON, SC 29325-7527
(864) 938-2879
(864) 938-2880
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111717
—
SC
05
—
354643
—
SC
05
—
400783
—
SC
01
—
6510325
AETNA
SC
01
—
CB9553
MEDICARE RAILROAD
SC
Enumeration date
08/07/2014
Last updated
08/07/2014
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