PRISMA HEALTH-MIDLANDS (NPI# 1114031564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114031564 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-MIDLANDS |
| Other Organization Name | PRISMA HEALTH PRIVATE SERVICES |
| Practice Address |
1400 Pickens St Columbia SC 29201-3465 |
| Mailing Address |
Po Box 7275 Columbia SC 29202-7275 |
| Practice Telephone | 8032963100 |
| Practice Fax Number | 8032963319 |
| Mailing Telephone | 8032963100 |
| Mailing Fax Number | 8032963319 |
| Enumeration Date | 2006-08-19 |
| 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-MIDLANDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX0691 | 05 | |
| SC | MC0014 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Health Private Services | Doing Business As Name - Organization |
| Prisma Health Private Services | 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 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| Street Address |
1400 PICKENS ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942688122 | Palmetto Health | General Acute Care Hospital | 1400 Pickens St, Columbia, SC 29201-3465 | 2015-05-08 |
| 1891983128 | Palmetto Health | Respiratory Therapist, Certified | 1400 Pickens St, 3rd Floor, Columbia, SC 29201-3465 | 2007-10-11 |
| 1760590954 | Prisma Health-midlands | Voluntary or Charitable | 1400 Pickens St, Columbia, SC 29201-3465 | 2006-08-28 |
| 1740398080 | Prisma Health-midlands | Voluntary or Charitable | 1400 Pickens St, Columbia, SC 29201-3465 | 2006-08-28 |
| 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 | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932643871 | Central Missouri Area Agency On Aging | Voluntary or Charitable | 1121 Business Loop 70 E, Flr 2a, Columbia, MO 65201-4600 | 2016-12-12 |
| 1578983516 | Cameron Transport Services | Voluntary or Charitable | 1208 Bush River Rd Apt N7, 1208 Bush River Rd. Unit N-7, Columbia, SC 29210-7568 | 2014-04-17 |
| 1952505703 | Comprehensive Human Services | Voluntary or Charitable | 800 N Providence Rd, Ste. 200, Columbia, MO 65203-4300 | 2007-06-14 |
| 1295942480 | Columbia Oral Health Clinic | Voluntary or Charitable | 3425 Main St, Columbia, SC 29203-6434 | 2007-05-17 |
| 1568503019 | Gayla Denise Bouknight | Voluntary or Charitable | 8213 Spring Flower Rd, Columbia, SC 29223-5640 | 2007-02-09 |
| 1649310301 | Impact Centers, Inc | Voluntary or Charitable | 1209 Tradewinds Dr, Columbia, TN 38401-4607 | 2007-02-08 |
| 1063586519 | Child Abuse & Neglect Emergency Shelter, Inc. | Voluntary or Charitable | 1611 Towne Dr, Columbia, MO 65202-2339 | 2006-11-17 |
| 1124109699 | Big Brothers Big Sisters of Gr. Columbia | Voluntary or Charitable | 4300 North Main Street, Suite 200, Columbia, SC 29203-5950 | 2006-10-18 |
| 1285745562 | Parentingpartners | Voluntary or Charitable | 1804 Hampton St, Columbia, SC 29201-3534 | 2006-08-31 |
| 1548631674 | Maryland Coalition of Families for Children's Mental Health, Inc. | Voluntary or Charitable | 10632 Little Patuxent Pkwy, Suite 234, Columbia, MD 21044-3273 | 2015-10-15 |
| 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.