NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
National Provider Identifier
1033889795
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PRISMA HEALTH-MIDLANDS
Doing business as
Prisma Health Cancer Inst-Richland
Practice address
7 Richland Medical Park Dr Ste 104
Columbia, SC 29203-6863
Phone
(803) 434-8740
Fax
(803) 424-8749
NPI assigned
Sep 15, 2021
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTH-MIDLANDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Polly H. Miller
Title
Svpfin-Enterprise Payor Contracting
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

7 Richland Medical Park Dr Ste 104
Columbia, SC 29203-6863

Mailing address

PO Box 402121
Atlanta, GA 30384-2121
Phone (803) 434-7000

Other names 1

  • Prisma Health Cancer Inst-Richland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000577 SC Part A Provider - Hospital 6800708330 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC; Irmo, SC; Lexington, SC; Winnsboro, SC; Chapin, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033889795. Details of each certification follow.

Hospital certification: CCN 420018

Legal name
PRISMA HEALTH-MIDLANDS
Doing business as
PRISMA HEALTH RICHLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 2019
Beds
649
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1998 in SC
Enrollment address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Prisma Health Richland HospitalCCN 420018 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
South Hampton Family Prac105 organizations share this tax ID, including this one
Part of
South Hampton Family Prac

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

7 Richland Medical Park Dr
Ste 104
Columbia, SC 29203
Phone (803) 434-6105

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristi a Lawrence Individual W-2 Managing EmployeeDirector, Provider Enrollment & Cvo Apr 5, 2020
Polly H Miller Individual Corporate OfficerSVP-Fin Enterprise Payor Contractin Mar 20, 2020
W-2 Managing EmployeeSVP-Fin Enterprise Payor Contractin Mar 20, 2020
Prisma Health-Midlands Organization, Columbia, SC Non-profit 5% Or Greater Direct Ownership Interest Jan 7, 2013 100%
Other Jan 7, 2013

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Prisma Health-Midlands

    dba Prisma Health Richland Hosptial

    • General Acute Care Hospital
    • Columbia, SC
    • NPI 1154373843

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Baptist Hospital

    • General Acute Care Hospital
    • Columbia, SC
    • NPI 1205889458

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Tuomey Home Health

    • Home Health Agency
    • Sumter, SC
    • NPI 1316086945

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Tuomey Hosptial

    • General Acute Care Hospital
    • Sumter, SC
    • NPI 1326043548

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Richland Springs Hospital

    • Psychiatric Hospital Unit
    • Columbia, SC
    • NPI 1326095324

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba PH Family Medicine Winnsboro

    • Rural Health Clinic/Center
    • Winnsboro, SC
    • NPI 1376148502

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Behavioral Care

    • Behavioral Neurology & Neuropsychiatry Physician
    • Columbia, SC
    • NPI 1487078663

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba PH Family Medicine-Bishopville

    • Rural Health Clinic/Center
    • Bishopville, SC
    • NPI 1497342471

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Behavioral Care

    • Psychiatric Hospital Unit
    • Columbia, SC
    • NPI 1598717316

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Hospice Midlands

    • Community Based Hospice Care Agency
    • Columbia, SC
    • NPI 1740398080

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Home Health

    • Home Health Agency
    • Columbia, SC
    • NPI 1760590954

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Baptist Parkridge Hospital

    • General Acute Care Hospital
    • Columbia, SC
    • NPI 1811237985

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

Affiliated clinicians 1,367

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,367

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1033889795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842121",
            "telephone_number": "803-434-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RICHLAND MEDICAL PARK DR STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036863",
            "telephone_number": "803-434-8740",
            "fax_number": "803-424-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH-MIDLANDS",
        "enumeration_date": "2021-09-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SVPFIN-ENTERPRISE PAYOR CONTRACTING",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Cancer Inst-Richland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Cancer Inst-Richland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.