Healthcare Provider Details

I. General information

NPI: 1538595921
Provider Name (Legal Business Name): GREENVILLE HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PATEWOOD DR SUITE C360
GREENVILLE SC
29615-3593
US

IV. Provider business mailing address

50 BEAR DR
GREENVILLE SC
29605-4458
US

V. Phone/Fax

Practice location:
  • Phone: 864-885-0077
  • Fax: 864-885-0084
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: POLLY H. MILLER
Title or Position: SVP FINANCE, ENTERPRISE CONTRACTING
Credential:
Phone: 864-522-2286