Mary Black Memorial Hospital
LBN: Mary Black Health System Llc
Mary Black Memorial Hospital is an health care organization with primary practice located at 1700 Skylyn Dr , Spartanburg SC 29307-1041. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Mary Black Health System Llc can be contacted via phone (864) 573-3000, or through Hurley, Rebecca via phone (214) 473-3993.
Contact Information
Primary practice address
1700 Skylyn Dr
Spartanburg SC 29307-1041
Phone: (864) 573-3000
Fax: (864) 573-3277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | HTL-704 | South Carolina |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | HTL-704 | South Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1083640981 |
|---|---|
| LBN Legal business name | Mary Black Health System Llc |
| DBA Doing business as | Mary Black Memorial Hospital |
| Authorized official | Hurley, Rebecca |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083640981 | NPPES |
| South Carolina | MEDICAID | GP1764 |
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