Samuel A Black, Md, Llc

LBN: Samuel A Black, Md, Llc
Samuel A Black, Md, Llc is an health care organization with primary practice located at 129 N Washington St , Sumter SC 29150-4949. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as the primary health care specialty. Samuel A Black, Md, Llc can be contacted via phone (800) 228-0249, or through Black, Samuel A via phone (800) 228-0249.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Phone: (800) 228-0249
Fax: (252) 222-3602
Website:
Map and Directions
Authorized official contact:
Name: Black, Samuel A Doctor of Medicine (MD)
Phone: (800) 228-0249

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X MD5514 South Carolina

Profile Details

NPI number 1265529499
LBN Legal business name Samuel A Black, Md, Llc
DBA Doing business as
Authorized official Black, Samuel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1265529499 NPPES
South Carolina MEDICAID 055148

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