Mary Black Health System Llc

LBN: Mary Black Health System Llc
Mary Black Health System Llc is an health care organization with primary practice located at 1690 Skylyn Dr Suite 300, Spartanburg SC 29307-1022. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Radiology, Mammography. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mary Black Health System Llc can be contacted via phone (864) 582-1201, or through Brewer, Debbie via phone (615) 465-7000.

Contact Information

Primary practice address
1690 Skylyn Dr Suite 300 Spartanburg SC 29307-1022
Phone: (864) 582-1201
Fax: (864) 596-7409
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (615) 465-7000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1578507174
LBN Legal business name Mary Black Health System Llc
DBA Doing business as
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 16th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578507174 NPPES
South Carolina MEDICAID GP1325
South Carolina MEDICAID GP4572
South Carolina Other CE9631
South Carolina MEDICAID GP1610
South Carolina MEDICAID GP1628
South Carolina MEDICAID GP4573
South Carolina MEDICAID GP4628

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