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MARY BLACK HEALTH SYSTEM LLC NPI 1669425963


NPI Information

NPI: 1669425963
Provider Name: MARY BLACK HEALTH SYSTEM LLC

Doing Business As: MARY BLACK HEALTH SYSTEM SPARTANBURG

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1700 SKYLYN DR
SPARTANBURG, SC
ZIP 29307
Phone: (864) 573-3000
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MARY BLACK HEALTH SYSTEM LLC is a general acute care hospital in Spartanburg, SC. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MARY BLACK HEALTH SYSTEM LLC NPI is 1669425963. The provider is registered as an organization entity type.
The provider Is Doing Business As Mary Black Health System Spartanburg.

The provider's business location address is:

1700 SKYLYN DR
SPARTANBURG, SC
ZIP 29307-041
Phone: (864) 573-3000
Fax: (864) 573-3277

The provider's authorized official is Paula Lalor .
The authorized official title is Diredtor/delegated Official and has the following contact phone number (615) 925-4565.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 2/14/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalHTL-704SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1382184MEDICAIDSOUTH CAROLINA
2400836MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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