Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prisma Health-Upstate

Organization Rural Health Clinic/Center · NPI 1134512395

Prisma Health-Upstate is a Rural Health Clinic/Center in Clinton, South Carolina. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

210 S Broad St
Clinton, SC 29325-2505
Phone: (864) 833-0973
Fax: (864) 833-9571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1134512395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Miller — Vp Payor Strategies & Alignment · (864) 522-2286
Other names Prisma Health Advanced Family Medicine
NPI enumeratedMarch 12, 2015
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

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