BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC
Complete NPI Record 1124495643
Clinic/Center - Urgent Care in Greenville, SC
Active since September 01, 2015CLIA Certified · 5 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Bon Secours Ambulatory Services - St. Francis, Llc (NPI 1124495643), a clinic/center organization in Greenville, SC. All 38 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1124495643 Field 1/38
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/38
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/38
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC Field 4/38
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/38
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/38
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 4600 MCAULEY PL STE 600 Field 7/38
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BLUE ASH Field 8/38
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OH Field 9/38
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 452424778 Field 10/38
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/38
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5139525000 Field 12/38
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 1467 WOODRUFF RD STE C Field 13/38
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: GREENVILLE Field 14/38
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: SC Field 15/38
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 296076505 Field 16/38
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/38
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8644588126 Field 18/38
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8644588129 Field 19/38
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: LOWE Field 22/38
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: CASSIE Field 23/38
- The first name of the authorized official.
- Authorized Official Title or Position: SYSTEM DIRECTOR, PAYER DELEGATION & Field 24/38
- The title or position of the authorized official.
- Authorized Official Telephone Number: 5139525210 Field 25/38
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QU0200X Field 26/38
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/38
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: F142 Field 28/38
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 01 Field 29/38
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: SC Field 30/38
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 1: MEDICARE Field 31/38
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Other Provider Identifier 2: GP8691 Field 32/38
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 05 Field 33/38
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: SC Field 34/38
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: Y Field 35/38
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: ST. FRANCIS HOSPITAL, INC. Field 36/38
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 37/38
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
AFC Urgent Care Bon Secours Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 16
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1667 E Main St Ste 300
Location 1/16Duncan, SC 29334-9217 · Phone (864) 757-5059
3613 Highway 153
Location 2/16Powdersville, SC 29611-7516 · Phone (864) 757-5059
474 Bypass 72 NW Ste B
Location 3/16Greenwood, SC 29649-1404 · Phone (864) 757-5059
2746 Boiling Springs Rd
Location 4/16Boiling Springs, SC 29316-6003 · Phone (864) 757-5059
3710 Clemson Blvd
Location 5/16Anderson, SC 29621-1317 · Phone (864) 757-5059
2310 Wade Hampton Blvd
Location 6/16Greenville, SC 29615-1043 · Phone (864) 292-5915
3930 Grandview Dr Ste B
Location 7/16Simpsonville, SC 29680-3163 · Phone (864) 757-5059
3213 N Pleasantburg Dr Ste E2
Location 8/16Greenville, SC 29609-2900 · Phone (864) 467-2005
2709 Pelham Rd Ste B
Location 9/16Greenville, SC 29615-4083 · Phone (864) 651-9217
649A Haywood Rd
Location 10/16Greenville, SC 29607-2719 · Phone (864) 537-0003
1800 Augusta St Ste B
Location 11/16Greenville, SC 29605-2928 · Phone (864) 412-7812
1494 W Wade Hampton Blvd Ste C
Location 12/16Greer, SC 29650-1166 · Phone (864) 849-8999
8161 Warren H Abernathy Hwy Ste 200
Location 13/16Spartanburg, SC 29301-2451 · Phone (864) 757-5059
925 W Butler Rd
Location 14/16Mauldin, SC 29607 · Phone (864) 757-5059
5208 Calhoun Memorial Hwy Ste C
Location 15/16Easley, SC 29640-3864 · Phone (864) 757-5059
13400 Clemson Blvd
Location 16/16Seneca, SC 29678-1455 · Phone (864) 757-5059
Other Provider Identifiers 2
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
F142 Other
Identifier 1/2State: SC · Issuer: Medicare
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
GP8691 Medicaid
Identifier 2/2State: SC
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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