Prisma Health Kidnetics-Medicaid

LBN: Prisma Health-Upstate
Prisma Health Kidnetics-Medicaid is an health care organization with primary practice located at 29 N Academy St , Greenville SC 29601-2629. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Prisma Health-Upstate can be contacted via phone (864) 331-1350, or through Miller, Polly H. via phone (864) 522-2286.

Contact Information

Primary practice address
29 N Academy St Greenville SC 29601-2629
Phone: (864) 331-1350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Polly H.
Phone: (864) 522-2286

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1336695436
LBN Legal business name Prisma Health-Upstate
DBA Doing business as Prisma Health Kidnetics-Medicaid
Authorized official Miller, Polly H.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2016
Last updated Feb 4th, 2021 - about 3 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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