| Prisma Health Pediatrics-clemson | |
|
450 Old Greenville Hwy Clemson SC 29631-1670 | |
| (864) 653-8964 | |
| (864) 653-8963 |
| Full Name | Prisma Health Pediatrics-clemson |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 Old Greenville Hwy, Clemson, South Carolina |
| Authorized Official Name and Position | Polly H. Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health Pediatrics-clemson 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 522-8603 | Prisma Health Pediatrics-clemson 450 Old Greenville Hwy Clemson SC 29631-1670 Ph: (864) 653-8964 |
| NPI Number | 1619423704 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 5698063162 |
|---|---|
| Medicare Enrollment ID | O20161118001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619423704 | NPI | - | NPPES |
| RHC235 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson, SC 29634 Phone: 864-656-0692 | |
Clemson Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 Fax: 864-654-7672 | |
Prisma Health Pediatrics-clemson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 Fax: 864-653-8963 | |
Ghs Clemson-seneca Ped - Clem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Frontage Rd Ste 1, Clemson, SC 29631 Phone: 864-654-6034 Fax: 864-654-0342 | |
Family Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 522 College Ave, Suite 1, Clemson, SC 29631 Phone: 864-654-7841 Fax: 864-654-7641 | |
Clemson University-redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson University, Clemson, SC 29634 Phone: 864-656-2233 Fax: 864-656-0760 | |
Anmed Health Clemson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 |