| Prisma Health-midlands | |
|
1330 Taylor At Marion Street Columbia SC 29201-0000 | |
| (803) 296-2243 | |
| (803) 296-2540 |
| Full Name | Prisma Health-midlands |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1330 Taylor At Marion Street, Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (VP PAYOR STRATEGIES) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health-midlands 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2254 | Prisma Health-midlands 1330 Taylor At Marion Street Columbia SC 29201-0000 Ph: (803) 296-2243 |
| NPI Number | 1598717316 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Medicare PECOS PAC ID | 6800708330 |
|---|---|
| Medicare Enrollment ID | O20160511001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598717316 | NPI | - | NPPES |
| 004200187 | Medicaid | VA | |
| 909225100 | Medicaid | FL | |
| 412442 | Medicaid | SC | |
| 200452330A | Medicaid | IN | |
| SC1968 | Medicaid | NJ | |
| 003035854 | Medicaid | CT | |
| 101066707 | Medicaid | PA | |
| 418962 | Medicaid | SC | |
| 0100452000 | Medicaid | WV | |
| 400863 | Medicaid | SC | |
| 4200018 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | HTL739 (South Carolina) | Primary |
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