Provider Demographics
NPI:1821425786
Name:ARCIS HEALTHCARE
Entity Type:Organization
Organization Name:ARCIS HEALTHCARE
Other - Org Name:MIDLANDS ORTHOPAEDICS, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-256-4106
Mailing Address - Street 1:1910 BLANDING ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3520
Mailing Address - Country:US
Mailing Address - Phone:803-256-4107
Mailing Address - Fax:803-253-6676
Practice Address - Street 1:2989 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3497
Practice Address - Country:US
Practice Address - Phone:803-256-4107
Practice Address - Fax:803-253-6676
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCIS HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-08
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207T00000X, 207X00000X, 2081P2900X
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP6337Medicaid
SC30198434OtherSELECT HEALTH OF SC DME PROVIDER #
SCDE3541OtherMEDICAID DME #
SCD043Medicare PIN
SC7000950003Medicare NSC