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RWII292030 Prisma Health Medical Group - Midlands (Active)
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Main Details
Name
Prisma Health Medical Group - Midlands
Subdivision Name
Division of Infectious Diseases
Type
Ryan White Part B
340B ID
RWII292030
Grant Number
X07HA00038
Additional Details
Current Program Status
Active
Registration Date
7/12/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/13/2018
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2025
Contacts
Authorizing Official
Prisma Health Medical Group
Sharon B Weissman, Chair, Dept of Internal Medicine
(803) 434-6430
Primary Contact
Prisma Health-Midlands
Katherine P Green, Program Coordinator
(803) 434-6430 Ext: 21685
Addresses
Street Address
1 Richland Medical Park
Suite 420
Columbia, SC 29203-6833
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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