Mary Black Health System LLC
Organization Active NPI Psychiatric Hospital Unit · Spartanburg, SC
NPI 1992758296 · NPPES record last updated Feb 22, 2018
Key facts
- NPI
- 1992758296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- HTL-704 (SC)
- Legal business name
- MARY BLACK HEALTH SYSTEM LLC
- Practice address
- 1700 Skylyn Dr
Spartanburg, SC 29307-1041 - Phone
- (864) 573-3000
- Fax
- (864) 573-3277
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MARY BLACK HEALTH SYSTEM LLC
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (615) 925-4565
Practitioners 28
-
Susan Kay Bland, MD
-
John R Graham, MD1
-
Scott A Klosterman, D.O.
-
Donald T Morgan, MD
-
Yashbir S Rana, MD
-
Charles P Stroup, MD
-
Paul Douglas Weaver, M.D.
-
Ray Mills Antley Jr., M.D.
National Provider Directory
- Part of
- Mary Black Health System
Locations
702 S Alabama Ave
Chesnee, SC 29323
Phone (864) 703-1414
724 Hyatt St
Ste 1D
Gaffney, SC 29341
Phone (864) 489-5001
724 Hyatt St
Ste F
Gaffney, SC 29341
Phone (864) 488-2507
724 Hyatt St
Ste 2D
Gaffney, SC 29341
Phone (864) 489-5001
1360 Drayton Rd
Spartanburg, SC 29307
Phone (864) 585-3850
1770 Skylyn Dr
Ste C
Spartanburg, SC 29307
Phone (864) 596-7420
1250 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 574-0017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | HTL-704 | SC | Yes |
Addresses
Primary practice location
1700 Skylyn Dr
Spartanburg, SC 29307-1041
Mailing address
1700 Skylyn Dr
PO Box 3217
Spartanburg, SC 29304
Phone (864) 573-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400836 | Medicaid | SC | |
| 382184 | Medicaid | SC |
Other names
- Mary Black Health System Spartanburg
Other providers in Spartanburg, SC
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Health System, LLC
- Mary Black Health System, LLC
- Mary Black Health System, LLC
- Mary Black Health System, LLC
- Mary Black Health System, LLC
All providers in Spartanburg, SC · Psychiatric Hospital Unit in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.