MEDICARE: HARNESS HEALTH PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1053066415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARNESS HEALTH PARTNERS LLC

Provider Business Mailing Address
First Line	:	317 SAINT FRANCIS DR STE 250
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-3968
Country	:	US
Telephone Number	:	864-241-5199
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 SAINT FRANCIS DR STE 250
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-3968
Country	:	US
Telephone Number	:	864-241-5199
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	ANNE DUNNINGTON
Credential	:
Telephone Number	:	513-952-5000

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	06/13/2023

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Directions to “HARNESS HEALTH PARTNERS LLC ” Practice Location

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