Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Equipped for Life
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
200 PATEWOOD DR, SUITE A 12, GREENVILLE, SC 29615-3593
(864) 454-5056
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0306710002
MEDICARE PTAN
SC
05
—
DE3471
—
SC
Enumeration date
08/24/2012
Last updated
06/27/2024
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