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Contact Information

PRISMA HEALTH UNIVERSITY MEDICAL GROUP
200 PATEWOOD DR
SUITE A200
GREENVILLE, SC29615-3593
 Phone: 864-454-5100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PRISMA HEALTH UNIVERSITY MEDICAL GROUP

NPI Number 1013244714
LBN Legal business name PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Authorized official POLLY MILLER - (SVP-FIN ENTERPRISE PAYOR CONTRACTIN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2009
Last updated 05/14/2024 - About 2 years ago
Identifiers
SC Medicaid OPAC02
SC Other 20041172 SELECT HEALTH ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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