Prisma Health Advanced Family Medicine

LBN: Prisma Health-Upstate
Prisma Health Advanced Family Medicine is an health care organization with primary practice located at 210 S Broad St , Clinton SC 29325-2505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Prisma Health-Upstate can be contacted via phone (864) 833-0973, or through Miller, Polly H. via phone (864) 522-2286.

Contact Information

Primary practice address
210 S Broad St Clinton SC 29325-2505
Fax: (864) 241-9290
Website:
Authorized official contact:
Name: Miller, Polly H.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1235819046
LBN Legal business name Prisma Health-Upstate
DBA Doing business as Prisma Health Advanced Family Medicine
Authorized official Miller, Polly H.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2023
Last updated Oct 11th, 2023 - about last year

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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