Foothills Family Medicine Boiling Springs
LBN: Mary Black Health System, Llc
Foothills Family Medicine Boiling Springs is an health care organization with primary practice located at 2212 Old Furnace Rd , Boiling Springs SC 29316-5782. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mary Black Health System, Llc can be contacted via phone (864) 578-9735, or through Hurley, Rebecca via phone (214) 473-3993.
Contact Information
Primary practice address
2212 Old Furnace Rd
Boiling Springs SC 29316-5782
Phone: (864) 578-9735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1922013721 |
|---|---|
| LBN Legal business name | Mary Black Health System, Llc |
| DBA Doing business as | Foothills Family Medicine Boiling Springs |
| Authorized official | Hurley, Rebecca |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jun 25th, 2008 - about 16 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 | 1922013721 | NPPES |
| South Carolina | MEDICAID | GP1594 |
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