Pharmacy-Enhanced Medicaid

LBN: Prisma Health-Midlands
Pharmacy-Enhanced Medicaid is an health care organization with primary practice located at Palmetto Health - Enhanced Medicaid 3301 Harden St Ext 7Mp, Columbia SC 29203-9965. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Prisma Health-Midlands can be contacted via phone (803) 296-2548, or through Miller, Polly H via phone (864) 522-2286.

Contact Information

Primary practice address
Palmetto Health - Enhanced Medicaid 3301 Harden St Ext 7Mp Columbia SC 29203-9965
Phone: (803) 296-2548
Fax: (803) 296-2548
Website:
Map and Directions
Authorized official contact:
Name: Miller, Polly H
Phone: (864) 522-2286

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1942369624
LBN Legal business name Prisma Health-Midlands
DBA Doing business as Pharmacy-Enhanced Medicaid
Authorized official Miller, Polly H
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 8th, 2006
Last updated Feb 18th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942369624 NPPES
South Carolina MEDICAID IC0006

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