Mary Black Gastroenterology Associates
LBN: Mary Black Health System Llc
Mary Black Gastroenterology Associates is an health care organization with primary practice located at 11 Doctors Park Dr , Spartanburg SC 29307-1024. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mary Black Health System Llc can be contacted via phone (864) 342-1435, or through Hurley, Rebecca via phone (214) 473-3993.
Contact Information
Primary practice address
11 Doctors Park Dr
Spartanburg SC 29307-1024
Phone: (864) 342-1435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1689697807 |
|---|---|
| LBN Legal business name | Mary Black Health System Llc |
| DBA Doing business as | Mary Black Gastroenterology Associates |
| Authorized official | Hurley, Rebecca |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 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 | 1689697807 | NPPES |
| South Carolina | MEDICAID | GP1874 |
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