Healthcare Provider Details

I. General information

NPI: 1962410845
Provider Name (Legal Business Name): GREENVILLE HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COTTAGE CREEK CIR
GREER SC
29650-2438
US

IV. Provider business mailing address

1 INDEPENDENCE PT SUITE 212
GREENVILLE SC
29615-4545
US

V. Phone/Fax

Practice location:
  • Phone: 864-797-8800
  • Fax:
Mailing address:
  • Phone: 864-797-6308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNCF-945
License Number StateSC

VIII. Authorized Official

Name: MICHAEL C. RIORDAN
Title or Position: PRESIDENT / CEO
Credential:
Phone: 864-797-7808