Organization
PRISMA HEALTH-MIDLANDS
Active
Parent organization
PRISMA HEALTH-MIDLANDS
Other names
Prisma Health Private Services
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
1400 PICKENS ST, COLUMBIA, SC 29201-3465
(803) 296-3100
(803) 296-3319
Mailing address
PO BOX 7275, COLUMBIA, SC 29202-7275
(803) 296-3100
(803) 296-3319
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0691
—
SC
05
—
MC0014
—
SC
Enumeration date
08/19/2006
Last updated
04/14/2020
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