PALMETTO HEALTH (NPI# 1104950450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104950450 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | CRNA BAPTIST |
| Practice Address |
1330 Taylor At Marion Streets Palmetto Health Baptist Crna Columbia SC 29201 |
| Mailing Address |
Palmetto Health Baptist Crna Po Box 402141 Atlanta GA 30384-0001 |
| Practice Telephone | 8032962548 |
| Practice Fax Number | 8032962548 |
| Mailing Telephone | 8032962548 |
| Mailing Fax Number | 8032962548 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | WILLIE P BROWN (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 8032962342 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BCBS FOR CRNA BAPTIST | SUFFIX 508 | 01 |
| Other Name | Type Code |
|---|---|
| CRNA Baptist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1851642458 | Palmetto Health | Family Medicine | 100 Palmetto Health Parkway, Suite 220, Columbia, SC 29212-1755 | 2012-09-24 |
| 1932464476 | Palmetto Health | Counselor | 2721 Dutch Fork Rd, Chapin, SC 29036-8565 | 2012-07-11 |
| 1417211954 | Palmetto Health | Ambulance | 10 Medical Park Drive, Columbia, SC 29203-0000 | 2012-06-29 |
| 1164796306 | Palmetto Health | Pediatrics | 7 Medical Park Drive, Suite 7215, Columbia, SC 29203-6863 | 2012-03-06 |
| 1134453863 | Palmetto Health | Counselor | 1001 Highway 378 W, Lexington, SC 29072-8321 | 2009-09-29 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| Street Address |
1330 TAYLOR AT MARION STREETS PALMETTO HEALTH BAPTIST CRNA |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205889458 | Prisma Health-midlands | General Acute Care Hospital | 1330 Taylor At Marion Streets, Columbia, SC 29201 | 2006-05-18 |
| 1336353408 | Prisma Health-midlands | General Acute Care Hospital | 1330 Taylor At Marion Streets, Columbia, SC 29201 | 2007-05-09 |
| 1134333206 | Prisma Health-midlands | General Acute Care Hospital | 1330 Taylor At Marion Streets, Columbia, SC 29201 | 2007-05-09 |
| 1063507044 | Katherine Brett Mcdermott | Nurse Anesthetist, Certified Registered | 1330 Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598200099 | Healthworks Med Group of South Carolina PC | Clinic/Center | 1200 Colonial Life Blvd W, Columbia, SC 29210-7670 | 2016-12-20 |
| 1902048333 | Hopefull Wishing Inc. | Clinic/Center | 132 Monteith St, Columbia, SC 29203-2714 | 2009-03-31 |
| 1801970793 | Curators of The University of Missouri | Clinic/Center | 1000 W Nifong Blvd Ste 2-200, Columbia, MO 65203-5661 | 2006-10-25 |
| 1174604201 | Prisma Health-midlands | Clinic/Center | 1333 Taylor St Ste 4e, Palmetto Health, Columbia, SC 29201-2923 | 2006-10-17 |
| 1053492280 | Prisma Health-midlands | Clinic/Center | 9 Medical Park Suite 305, Palmetto Health Richland Diabetes Education, Columbia, SC 29203-6863 | 2006-10-17 |
| 1104914464 | Way Station Inc | Clinic/Center | 9030 State Route 108, Columbia, MD 21045-1951 | 2006-10-11 |
| 1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
| 1811594294 | Lexington Health Inc | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-10-08 |
| 1003455627 | Ethos Health Maryland 3 LLC | Clinic/Center | 10840 Little Patuxent Pkwy, Columbia, MD 21044-3115 | 2019-12-30 |
| 1912554353 | T&s Wellness LLC | Clinic/Center | 201 Columbia Mall Blvd Ste 189, Columbia, SC 29223-7550 | 2019-08-21 |
| Find all providers in COLUMBIA | ||||
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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.