Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS Patewood Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT / CEO)
(864) 797-7808
Entity
Organization
Contact information
Practice address
175 PATEWOOD DR, GREENVILLE, SC 29615-3570
(864) 797-1000
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-0900
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197266
MEDCOST
SC
01
—
323510
MULTIPAN
SC
01
—
400293
MEDICAID
SC
01
—
420102
MEDICARE A
SC
01
—
6055895
CIGNA
SC
01
—
7956918
AETNA
SC
01
—
7981966170001
GREAT WEST
SC
01
—
8724
MEDICARE B
SC
Enumeration date
11/08/2006
Last updated
04/14/2015
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