Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS North Greenville LTACH
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) 797-6308
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
HTL-853
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400818
—
SC
01
—
42D0253285
CLIA (LAB)
SC
01
—
6897581
CIGNA (INTERNAL NUMBER)
SC
05
—
A00853
—
SC
01
—
AETNA
6510510
SC
05
—
B00853
—
SC
01
—
SELECT HEALTH
60030
SC
01
—
UNISON
000000163782
SC
Enumeration date
05/18/2006
Last updated
08/17/2018
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