Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS Greenville Mem Subacute
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT / CEO)
(864) 797-7808
Entity
Organization
Contact information
Practice address
807 N MAIN ST, TRAVELERS REST, SC 29690-1551
(864) 834-5132
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
NCF-690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111717
—
SC
01
—
42-5383
MEDICARE ID
SC
01
—
4697323
CIGNA
SC
Enumeration date
05/12/2006
Last updated
08/17/2018
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