Healthcare Provider Details

I. General information

NPI: 1316086945
Provider Name (Legal Business Name): PRISMA HEALTH TUOMEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 10/30/2020
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PINEWOOD RD
SUMTER SC
29154-6197
US

IV. Provider business mailing address

500 PINEWOOD RD
SUMTER SC
29154-6197
US

V. Phone/Fax

Practice location:
  • Phone: 803-773-4663
  • Fax: 803-774-9780
Mailing address:
  • Phone: 803-773-4663
  • Fax: 803-774-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA-175
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA-0175
License Number StateSC

VIII. Authorized Official

Name: POLLY H MILLER
Title or Position: VP PAYOR STRATEGIES ALIGNMENT
Credential:
Phone: 864-522-2286