Piedmont Internal Medicine
LBN: Mary Black Health System, Llc
Piedmont Internal Medicine is an health care organization with primary practice located at 145B Dillon Dr , Spartanburg SC 29307-1017. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mary Black Health System, Llc can be contacted via phone (864) 582-7892, or through Brewer, Debbie via phone (615) 465-7000.
Contact Information
Primary practice address
145B Dillon Dr
Spartanburg SC 29307-1017
Phone: (864) 582-7892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1871500843 |
|---|---|
| LBN Legal business name | Mary Black Health System, Llc |
| DBA Doing business as | Piedmont Internal Medicine |
| Authorized official | Brewer, Debbie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 2nd, 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 | 1871500843 | NPPES |
| South Carolina | MEDICAID | PENDING |
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