Ph Medical Group Midlands
LBN: Prisma Health Medical Group-Midlands
Ph Medical Group Midlands is an health care organization with primary practice located at 2 Medical Park Rd Ste 104 , Columbia SC 29203-6839. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Prisma Health Medical Group-Midlands can be contacted via phone (803) 434-6812, or through Lawrence, Kristi via phone (864) 385-4790.
Contact Information
Primary practice address
2 Medical Park Rd Ste 104
Columbia SC 29203-6839
Phone: (803) 434-6812
Fax: (803) 434-7306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1992227946 |
|---|---|
| LBN Legal business name | Prisma Health Medical Group-Midlands |
| DBA Doing business as | Ph Medical Group Midlands |
| Authorized official | Lawrence, Kristi |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2017 |
| Last updated | Jan 30th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992227946 | NPPES |
| South Carolina | Other | DE3875 | DME MEDICAID |
| South Carolina | Other | 7660520007 | DME MEDICAID |
| South Carolina | MEDICAID | GP8162 | DME MEDICAID |
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