Peachview Extended Care

LBN: Mary Black Health System Llc
Peachview Extended Care is an health care organization with primary practice located at 724 Hyatt St Ste D , Gaffney SC 29341-2630. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mary Black Health System Llc can be contacted via phone (864) 489-5001, or through Brewer, Debbie via phone (615) 465-7000.

Contact Information

Primary practice address
724 Hyatt St Ste D Gaffney SC 29341-2630
Phone: (864) 489-5001
Fax:
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
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1801900865
LBN Legal business name Mary Black Health System Llc
DBA Doing business as Peachview Extended Care
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2006
Last updated Aug 14th, 2007 - about 18 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 1801900865 NPPES
South Carolina MEDICAID GP2924

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