| Prisma Health-upstate | |
|
9100 Highway 14 Gray Court SC 29645-4152 | |
| (864) 522-2286 | |
| Not Available |
| Full Name | Prisma Health-upstate |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9100 Highway 14, Gray Court, South Carolina |
| Authorized Official Name and Position | Polly H. Miller (SVP FIN ENTERPRISE CONTRACTING) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health-upstate 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 522-2286 | Prisma Health-upstate 9100 Highway 14 Gray Court SC 29645-4152 Ph: (864) 522-2286 |
| NPI Number | 1194405969 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194405969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Partners In Health - Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9100 Highway 14, Gray Court, SC 29645 Phone: 864-876-4888 Fax: 864-876-4900 | |
Greenville Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9100 Highway 14, Gray Court, SC 29645 Phone: 864-876-4888 Fax: 864-876-4900 | |
Spartanburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2846 N Old Laurens Rd, Gray Court, SC 29645 Phone: 864-560-4868 Fax: 864-560-4870 | |
Prisma Health-upstate Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9100 Highway 14, Gray Court, SC 29645 Phone: 864-876-4888 |