Provider Demographics
NPI:1689978280
Name:COLUMBIA MHC
Entity Type:Organization
Organization Name:COLUMBIA MHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, BSN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:TYNER
Authorized Official - Last Name:MOLLOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSING
Authorized Official - Phone:803-351-0669
Mailing Address - Street 1:3021 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-7722
Mailing Address - Country:US
Mailing Address - Phone:803-351-0669
Mailing Address - Fax:
Practice Address - Street 1:2720 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4810
Practice Address - Country:US
Practice Address - Phone:803-791-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC98276282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital