PRISMA HEALTH-MIDLANDS NPI 1174604201

NPI Information

  • NPI: 1174604201
  • Provider Name: PRISMA HEALTH-MIDLANDS
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: PH DIABETES SELF CARE MGT PROGRAM
  • Address: 1301 TAYLOR ST STE 3Q
    COLUMBIA, SC
    ZIP 29201
  • Phone: (803) 296-3070

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NPI Details

PRISMA HEALTH-MIDLANDS is a multi-specialty clinic center in Columbia, SC. PRISMA HEALTH-MIDLANDS NPI is 1174604201. The provider is registered as an organization entity type.
The provider Is Doing Business As Ph Diabetes Self Care Mgt Program.

The provider's business location address is:

1301 TAYLOR ST STE 3Q
COLUMBIA, SC
ZIP 29201-942
Phone: (803) 296-3070
Fax: (803) 296-3040

The provider's authorized official is Polly H Miller .
The authorized official title is Svp Finance/enterprise Contracting and has the following contact phone number (864) 522-2286.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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