| Prisma Health Richland Springs Hospital | |
|
5 Richland Medical Park Dr Columbia SC 29203-6897 | |
| (803) 296-2548 | |
| Not Available |
| Full Name | Prisma Health Richland Springs Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5 Richland Medical Park Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
| 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 Richland Springs Hospital 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2548 | Prisma Health Richland Springs Hospital 5 Richland Medical Park Dr Columbia SC 29203-6897 Ph: (803) 296-2548 |
| NPI Number | 1326095324 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Medicare PECOS PAC ID | 6800708330 |
|---|---|
| Medicare Enrollment ID | O20080111000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326095324 | NPI | - | NPPES |
| 387175 | Medicaid | SC | |
| 400186 | Medicaid | SC | |
| 232488 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | HTL741 (South Carolina) | Primary |
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