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Organization Active NPI

Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
National Provider Identifier
1154373843
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL741 Issued in SC
Legal business name
PRISMA HEALTH-MIDLANDS
Practice address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone
(803) 296-2548
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Polly H. Miller
Title
SVP Finance, Enterprise Contracting
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X HTL741 SC Primary

Addresses

Primary practice location

5 Richland Medical Park Dr
Columbia, SC 29203-6863

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548

Other identifiers 3

IdentifierTypeStateIssuer
20000290OtherSCFIRST CHOICE SELECT UB
400186MedicaidSC
20000321OtherSCFIRST CHOICE SELECT 1500

Other names 1

  • Prisma Health Richland Hosptial Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031110000506 SC Part B Supplier - Clinic/Group Practice 6800708330 Receives reassigned benefits from 364 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC
O20080111000577 SC Part A Provider - Hospital 6800708330 6 other NPIs on this enrollment
Practice locations: Columbia, SC; Irmo, SC; Lexington, SC; Winnsboro, SC; Chapin, SC

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 with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 23

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

View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
Prisma Health Richland HospitalCCN 420018
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
Markowitz and Associates105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

100 Palmetto Health Pkwy
Ste 108
Columbia, SC 29212
Phone (803) 407-4940

400 Palmetto Health Pkwy
Ste 100
Columbia, SC 29212

400 Palmetto Health Pkwy
#1
Columbia, SC 29212

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 11

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

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prisma Health Baptist HospitalColumbia, SC, CCN 420086 Hospital Operational/Managerial Control (100%)
Other		 Apr 1, 2019
Apr 1, 2019
Prisma Health Richland SpringsColumbia, SC, CCN 42S018 Hospital Operational/Managerial Control
Other		 Sep 26, 1993
Sep 26, 1993
Prisma Health Baptist ParkridgeColumbia, SC, CCN 420106 Hospital Operational/Managerial Control (100%)
Other		 Jan 14, 2014
Jan 14, 2014
Prisma Health Tuomey HospitalColumbia, SC, CCN 42S086 Hospital Operational/Managerial Control
Other		 Oct 1, 1990
Oct 1, 1990
Prisma Health Tuomey HospitalSumter, SC, CCN 420070 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Prisma Health Home HealthColumbia, SC, CCN 427013 Home health agency Operational/Managerial Control (100%) Jan 1, 2007
Prisma Health Tuomey Home HealthSumter, SC, CCN 427078 Home health agency Other Jan 1, 2016
Prisma Health Tuomey HospiceSumter, SC, CCN 421509 Hospice Operational/Managerial Control
Other		 Jan 1, 2016
Jan 1, 2016
PH Family Medicine WinnsboroWinnsboro, SC, CCN 423496 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
PH Family Medicine-BishopvilleBishopville, SC, CCN 423497 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 164

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 164

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1154373843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036863",
            "telephone_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SVP FINANCE, ENTERPRISE CONTRACTING",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE SELECT UB",
            "identifier": "20000290",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400186",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE SELECT 1500",
            "identifier": "20000321",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Richland Hosptial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.