Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIORDAN (PRESIDENT/CEO)
(864) 797-7808
Entity
Organization
Contact information
Practice address
32 STONEY POINT DR, GREENVILLE, SC 29605-4628
(864) 522-1950
(864) 522-1955
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4053
CMS PACE PROGRAM
SC
Enumeration date
06/06/2016
Last updated
06/06/2016
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