Prisma Health Behavioral Care | |
1330 Taylor At Marion Street Columbia SC 29201-0000 | |
(803) 296-2243 | |
(803) 296-2540 |
Full Name | Prisma Health Behavioral Care |
---|---|
Speciality | Psychiatric Unit |
Location | 1330 Taylor At Marion Street, Columbia, South Carolina |
Authorized Official Name and Position | Polly H Miller (VP PAYOR STRATEGIES) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prisma Health Behavioral Care 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2254 | Prisma Health Behavioral Care 1330 Taylor At Marion Street Columbia SC 29201-0000 Ph: (803) 296-2243 |
NPI Number | 1598717316 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 02/18/2021 |
Certification Date | 02/18/2021 |
Medicare PECOS PAC ID | 6800708330 |
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Medicare Enrollment ID | O20160511001736 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598717316 | NPI | - | NPPES |
004200187 | Medicaid | VA | |
909225100 | Medicaid | FL | |
412442 | Medicaid | SC | |
200452330A | Medicaid | IN | |
SC1968 | Medicaid | NJ | |
003035854 | Medicaid | CT | |
101066707 | Medicaid | PA | |
418962 | Medicaid | SC | |
0100452000 | Medicaid | WV | |
400863 | Medicaid | SC | |
4200018 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | HTL739 (South Carolina) | Primary |
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