# PRISMA HEALTH-MIDLANDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prisma Health Occupational Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063569259
- **Authorized official:** POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT)
- **Authorized official phone:** (864) 522-2286

## Contact information

- **Practice address:** PRISMA HEALTH OCCUPATIONAL MEDICINE, 1333 TAYLOR STREETS SUITE 3-H, COLUMBIA, SC 29220-0001
- **Practice address phone:** (180) 329-6254
- **Practice address fax:** (180) 329-6254
- **Mailing address:** PRISMA HEALTH OCCUPATIONAL MEDICINE, 300 E. MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
- **Mailing address phone:** (803) 296-2548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 03/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 079 | BCBS SUFIX | SC |