Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS CARDIOVASCULAR SVCS SIMP
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT/CEO)
(864) 455-7978
Entity
Organization
Contact information
Practice address
719A SE MAIN ST, SIMPSONVILLE, SC 29681-3237
(864) 455-6900
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-204
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
---------005
BCBS/BLUE CHOICE
SC
05
—
340635
—
SC
05
—
400373
—
SC
05
—
418062
—
SC
01
—
42D0668492
CLIA
SC
01
—
6510180
AETNA
SC
01
—
8802721
CIGNA
SC
01
—
CC2538
MEDICARE RAILROAD
SC
Enumeration date
04/15/2014
Last updated
01/15/2015
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