Pavillon Greenville Outpatient Services

LBN: Pavillon Greenville Outpatient Services
Pavillon Greenville Outpatient Services is an health care organization with primary practice located at 101 Pelham Commons Blvd , Greenville SC 29615-4974. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Pavillon Greenville Outpatient Services can be contacted via phone (864) 241-6688, or through Fryar, Natalie via phone (864) 241-6688.

Contact Information

Primary practice address
101 Pelham Commons Blvd Greenville SC 29615-4974
Fax: (864) 241-6682
Website:
Authorized official contact:
Name: Fryar, Natalie LPC, CACII

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X OTP 0102 South Carolina

Profile Details

NPI number 1780934976
LBN Legal business name Pavillon Greenville Outpatient Services
DBA Doing business as
Authorized official Fryar, Natalie LPC, CACII
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2012
Last updated Mar 11th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780934976 NPPES
South Carolina Other 1023345139 NPI

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