| NPI | 1336695436 |
|---|---|
| Doing Business As | PRISMA HEALTH KIDNETICS-MEDICAID |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER VP Payor Strategies & Alignment 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-02-04 |