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Organization
PRISMA HEALTH-MIDLANDS
Active
Organization
PRISMA HEALTH-MIDLANDS
Active
Parent organization
PRISMA HEALTH-MIDLANDS
Other names
Prisma Health Richland Lab Outreach
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRISMA HEALTH-MIDLANDS
Authorized official
POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
FIVE RICHLAND MEDICAL PARK, COULMBIA, SC 29203-6897
(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
—
05
—
232488
—
SC
05
—
387175
—
SC
Enumeration date
08/31/2006
Last updated
02/18/2021
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