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Organization
PRISMA HEALTH-MIDLANDS
Active
Organization
PRISMA HEALTH-MIDLANDS
Active
Other names
Prisma Health Richland Hosptial
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (SVP FINANCE, ENTERPRISE CONTRACTING)
(864) 522-2286
Entity
Organization
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 296-2548
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL741
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20000290
FIRST CHOICE SELECT UB
SC
01
—
20000321
FIRST CHOICE SELECT 1500
SC
05
—
400186
—
SC
Enumeration date
05/17/2006
Last updated
01/25/2023
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