PRISMA HEALTH-MIDLANDS (NPI# 1942369624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942369624 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-MIDLANDS |
| Other Organization Name | PHARMACY-ENHANCED MEDICAID |
| Practice Address |
Palmetto Health - Enhanced Medicaid 3301 Harden St Ext 7mp Columbia SC 29203-9965 |
| Mailing Address |
Palmetto Health - Enhanced Medicaid 3301 Harden St Ext 10mp Pharmacy Columbia SC 29203-6897 |
| Practice Telephone | 8032962548 |
| Practice Fax Number | 8032962548 |
| Mailing Telephone | 8032962548 |
| Mailing Fax Number | 8032962548 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRISMA HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | IC0006 | 05 |
| Other Name | Type Code |
|---|---|
| Pharmacy-Ehnanced Medicaid | Doing Business As Name - Organization |
| Pharmacy-Enhanced Medicaid | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1639590680 | Prisma Health-midlands | Emergency Medicine | 1200 Colonial Life Blvd W Fl 1, Columbia, SC 29210-7670 | 2013-12-18 |
| 1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
| 1598099228 | Prisma Health-midlands | Counselor | 91 Polo Rd, Columbia, SC 29223-2805 | 2009-09-29 |
| 1740452739 | Prisma Health-midlands | Voluntary or Charitable | 1400 Camellia Ave, Newberry, SC 29108-3098 | 2008-03-31 |
| 1558576280 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street Medical Park, Columbia, SC 29203 | 2007-05-14 |
| 1487868097 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street, Columbia, SC 29203 | 2007-05-10 |
| 1063569259 | Prisma Health-midlands | Clinic/Center | Prisma Health Occupational Medicine, 1333 Taylor Streets Suite 3-h, Columbia, SC 29220-0001 | 2007-01-03 |
| 1174604201 | Prisma Health-midlands | Clinic/Center | 1333 Taylor St Ste 4e, Palmetto Health, Columbia, SC 29201-2923 | 2006-10-17 |
| Street Address |
PALMETTO HEALTH - ENHANCED MEDICAID 3301 HARDEN ST EXT 7MP |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-9965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1700018488 | Accurate Rx Pharmacy Consulting, LLC | Clinic/Center | 103 Corporate Lake Dr, Suite B, Columbia, MO 65203-7290 | 2009-08-14 |
| 1023191186 | Option Care Enterprises, Inc. | Clinic/Center | 1410 Heriford Rd, Columbia, MO 65202-1907 | 2006-10-23 |
| 1568400687 | Option Care Enterprises, Inc. | Clinic/Center | 9140 Guilford Rd, Suite K, Columbia, MD 21046-1811 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038848 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 1200 Woodruff Rd Ste G24, Greenville, SC 29607-5735 | 2019-08-14 |
| 1285874925 | Anderson Health & Wellness Center LLC | Clinic/Center | 1510 N Fant St, Anderson, SC 29621-4708 | 2009-02-20 |
| 1649359928 | Homechoice Partners, Inc | Clinic/Center | 160 Congress Blvd, Ste D, Duncan, SC 29334-9478 | 2006-11-06 |
| 1932132073 | Palmetto State Staffing Group, LLC | Clinic/Center | 113 Cherokee Rd, Suite 2, Florence, SC 29501-5247 | 2006-07-09 |
| 1730734468 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169-3461 | 2019-08-08 |
| 1770039885 | Prisma Health-upstate | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-4210 | 2016-08-29 |
| 1043533896 | Mit Ambulatory Care Center | Clinic/Center | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2010-03-09 |
| 1588737498 | Kershaw Hospital LLC | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1538177019 | Greenville Health System | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-08-03 |
| 1194745430 | Anmed Health | Clinic/Center | 800 N Fant St, Anderson, SC 29621-5708 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.