Prisma Health-Upstate
Clinic/Center, Sleep Disorder Diagnostic in Simpsonville, SC. Organization (NPI-2).
NPI number1982159877
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1982159877
- Entity type
- Organization (NPI-2)
- Legal business name
- Prisma Health-Upstate
- Organization subpart
- No
- Enumeration date
- Aug 20, 2016
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Other names
- Prisma Health Sleep Disorders Center-Hillcrest (Doing Business As)
Practice location
741 Se Main StSimpsonville, SC 29681-3237
Phone 864-455-7743
Mailing address
300 E McBee Ave Fl 4Greenville, SC 29601-2842
Phone 864-455-7000
Authorized official
Polly H. Miller
Vp Payor Strategies & Alignment
8645222286
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