NPI Code Detail JSON Logo

1386308476 NPI number — PRISMA HEALTH MIDLANDS

NPI Number: 1386308476
Health Care Provider/Practitioner: PRISMA HEALTH MIDLANDS

Information about “1386308476” NPI (PRISMA HEALTH MIDLANDS) exists in 1386308476 in HTML format HTML  |  1386308476 in plain Text format TXT  |  1386308476 in PDF (Portable Document Format) PDF  |  1386308476 in an XML format XML  formats.

NPI Number : 1386308476 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386308476",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PRISMA HEALTH MIDLANDS",
    "ParentOrgTIN": null,
    "OrgName": "PRISMA HEALTH MIDLANDS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "300 E MCBEE AVE FL 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29601-2842",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3010 FARROW RD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29203-7603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-434-3650",
    "PracticeLocationAddressFaxNumber": "803-434-5600",
    "EnumerationDate": "10/26/2021",
    "LastUpdateDate": "10/26/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BURKE",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": "THOMAS",
    "AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "864-797-7817",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QI0500X",
        "TaxonomyName": "Infusion Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.