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 1336039460

Prisma Health-Upstate is a Rural Health Clinic/Center in Anderson, South Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8 Justice Ln
Anderson, SC 29621-2354
Phone: (864) 760-6130
Fax: (864) 760-6125
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 number1336039460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Miller — Vp-Fin Enterprise Payor Contracting · (864) 522-2286
Other names Prisma Health Primary Care Northlake
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

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