Mary Black Health System LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Gaffney, SC
NPI 1992990501 · NPPES record last updated Sep 7, 2007
Key facts
- NPI
- 1992990501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MARY BLACK HEALTH SYSTEM LLC
- Practice address
- 724 Hyatt St
Suite D
Gaffney, SC 29341-2630 - Phone
- (864) 489-5001
- Fax
- (864) 488-3958
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Debbie Brewer
- Title
- Director of Provider Enrollment
- Phone
- (615) 465-7626
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Mary Black Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
724 Hyatt St
Suite D
Gaffney, SC 29341-2630
Mailing address
724 Hyatt St
Suite D
Gaffney, SC 29341-2630
Phone (864) 489-5001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0456110022 | Other | SC | MEDICARE DME PIN |
Other names
- Peachview Urgent Care
Other providers in Gaffney, SC
- Laura Patterson Martin
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Health System LLC
- Mary Black Physicians Group LLC
- Mary Black Physicians Group LLC
- Mary Black Physicians Group LLC
- Mary Black Physicians Group LLC
- Mary Black Physicians Group, LLC
All providers in Gaffney, SC · Durable Medical Equipment & Medical Supplies 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 Sep 7, 2007. 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.