Provider Demographics
NPI:1821220229
Name:GREENVILLE HOSPITAL SYSTEM PARTNERS IN HEALTH, INC
Entity Type:Organization
Organization Name:GREENVILLE HOSPITAL SYSTEM PARTNERS IN HEALTH, INC
Other - Org Name:UNIVERSITY MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-797-6044
Mailing Address - Street 1:7 INDEPENDENCE PT
Mailing Address - Street 2:STE 140
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4566
Mailing Address - Country:US
Mailing Address - Phone:864-797-6044
Mailing Address - Fax:864-797-6198
Practice Address - Street 1:515A W BUTLER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-4833
Practice Address - Country:US
Practice Address - Phone:864-236-9888
Practice Address - Fax:864-236-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1031610002OtherDME PTAN
SC3640Medicare PIN