Organization
PRISMA HEALTH-MIDLANDS
Active
Parent organization
PRISMA HEALTH-MIDLANDS
Other names
Prisma Health Diabetes Education, Diabetes Educations Richland
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
9 MEDICAL PARK SUITE 205, PALMETTO HEALTH RICHLAND DIABETES EDUCATION, COLUMBIA, SC 29203-6863
(803) 296-2548
(803) 296-3040
Mailing address
PRISMA HEALTH DIABETES EDUCATION ATTN: KARLA K. POWELL, 300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20029656
SELECT HEALTH GRP
SC
01
—
DEP012
INHANCE MEDICAID GRP
SC
Enumeration date
10/17/2006
Last updated
05/19/2021
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