Prisma Health Mountain Lakes Family Medicine

LBN: Prisma Health-Upstate
Prisma Health Mountain Lakes Family Medicine is an health care organization with primary practice located at 10110 Clemson Blvd , Seneca SC 29678-0812. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Prisma Health-Upstate can be contacted via phone (864) 482-3148, or through Miller, Polly H. via phone (864) 522-2286.

Contact Information

Primary practice address
10110 Clemson Blvd Seneca SC 29678-0812
Phone: (864) 482-3148
Fax: (864) 482-0505
Website:
Map and Directions
Authorized official contact:
Name: Miller, Polly H.
Phone: (864) 522-2286

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1932746815
LBN Legal business name Prisma Health-Upstate
DBA Doing business as Prisma Health Mountain Lakes Family Medicine
Authorized official Miller, Polly H.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2019
Last updated Feb 5th, 2021 - about 4 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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