Prisma Health-Midlands
Organization Active NPI General Acute Care Hospital · Coulmbia, SC
NPI 1154432458 · NPPES record last updated Feb 18, 2021
Key facts
- NPI
- 1154432458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- HTL741 (SC)
- Legal business name
- PRISMA HEALTH-MIDLANDS
- Practice address
- Five Richland Medical Park
Coulmbia, SC 29203-6897 - Phone
- (803) 296-2548
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PRISMA HEALTH-MIDLANDS
Authorized official
- Name
- Polly H Miller
- Title
- VP Payor Strategies Alignment
- Phone
- (864) 522-2286
Owners & managing parties with NPI records 12
Other NPIs on the same Medicare enrollment 6
Related certifications (CCN) 1
Affiliated clinicians 1,367
-
Adam C Abram, MD
-
Adelero Olayinka Adebajo, M.D.
-
Divya Ahuja, MD
-
Paul Aitchison, MD
-
Majdi N Al-Hasan, MD
-
Helmut Albrecht, M.D.
-
Kathleen Godbey Albrecht, M.D.
-
Summer Aldrugh, M.D.
-
Andrea Alicia Alexander, WHNP
-
Aimee Heather Aline, MSN, FNP-C
-
Rachel Ahn Allan, MD
-
Kari-Claudia M Allen, M.D.
-
Wilbur Lynn Allen, M.D.
-
Dwayne Randolph Alleyne, ACNPC
Medicare Care Compare: Hospital
- Listed as
- Prisma Health Richland Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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
- Corporation · Non-profit
- Incorporated
- Feb 8, 1998 in SC
- Enrollment address
- 5 Richland Medical Park Dr
Columbia, SC 29203-6863 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Kristi a Lawrence |
W-2 Managing Employee |
Apr 5, 2020 | |
| Polly H Miller |
Corporate Officer |
Mar 20, 2020 | |
| W-2 Managing Employee |
Mar 20, 2020 | ||
| Prisma Health-Midlands |
5% Or Greater Direct Ownership Interest | Jan 7, 2013 | 100% |
| Other | Jan 7, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Markowitz and Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | HTL741 | SC | Yes |
Addresses
Primary practice location
Five Richland Medical Park
Coulmbia, SC 29203-6897
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232488 | Medicaid | SC | |
| 20000290 | Other | FIRST CHOICE SELECT | |
| 387175 | Medicaid | SC |
Other names
- Prisma Health Richland Lab Outreach
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Karla.powell@prismahealth.org | Direct |
Other providers in Coulmbia, SC
All providers in Coulmbia, SC · General Acute Care Hospital in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.