Organization
PRISMA HEALTH-MIDLANDS
Active
Other names
Prisma Health Behavioral Care
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H MILLER (VP PAYOR STRATEGIES)
(864) 522-2286
Entity
Organization
Contact information
Practice address
1330 TAYLOR AT MARION STREET, COLUMBIA, SC 29201-0000
(803) 296-2243
(803) 296-2540
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-2254
(803) 296-2540
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
HTL739
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003035854
—
CT
05
—
004200187
—
VA
05
—
0100452000
—
WV
05
—
101066707
—
PA
05
—
200452330A
—
IN
05
—
400863
—
SC
05
—
412442
—
SC
05
—
418962
—
SC
05
—
4200018
—
NC
05
—
909225100
—
FL
05
—
SC1968
—
NJ
Enumeration date
05/17/2006
Last updated
02/18/2021
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