Hillcrest Family Practice
LBN: Mary Black Health System, Llc
Hillcrest Family Practice is an health care organization with primary practice located at 1770 Skylyn Dr , Spartanburg SC 29307-1045. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mary Black Health System, Llc can be contacted via phone (864) 582-7200, or through Brewer, Debbie via phone (615) 465-7000.
Contact Information
Primary practice address
1770 Skylyn Dr
Spartanburg SC 29307-1045
Phone: (864) 582-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1134137581 |
|---|---|
| LBN Legal business name | Mary Black Health System, Llc |
| DBA Doing business as | Hillcrest Family Practice |
| Authorized official | Brewer, Debbie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 14th, 2007 - about 17 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 | 1134137581 | NPPES |
| South Carolina | MEDICAID | GP1605 |
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