MARY BLACK HEALTH SYSTEM LLC (NPI# 1992990501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992990501 |
| Entity Type | Organization |
| Organization Name | MARY BLACK HEALTH SYSTEM LLC |
| Other Organization Name | PEACHVIEW URGENT CARE |
| Practice Address |
724 Hyatt St Suite D Gaffney SC 29341-2630 |
| Practice Telephone | 8644895001 |
| Practice Fax Number | 8644883958 |
| Mailing Telephone | 8644895001 |
| Mailing Fax Number | 8644883958 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | MS. DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE DME PIN | 0456110022 | 01 |
| Other Name | Type Code |
|---|---|
| Peachview Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619162229 | Mary Black Health System LLC | Durable Medical Equipment & Medical Supplies | 138 Dillon Dr, Spartanburg, SC 29307-1018 | 2007-09-07 |
| 1811030760 | Mary Black Health System LLC | Family Medicine | 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1058 | 2007-02-14 |
| 1699839530 | Mary Black Health System LLC | Orthopaedic Surgery | 724 Hyatt St, Suite F, Gaffney, SC 29341-2630 | 2006-12-21 |
| 1609983287 | Mary Black Health System LLC | Durable Medical Equipment & Medical Supplies | 724 Hyatt St Ste 2-d, Gaffney, SC 29341-2630 | 2006-08-23 |
| 1073620654 | Mary Black Health System LLC | Obstetrics & Gynecology | 1686 Skylyn Dr Ste 102, Spartanburg, SC 29307-1058 | 2006-08-23 |
| 1962519546 | Mary Black Health System LLC | Surgery | 1690 Skylyn Dr Ste 350, Spartanburg, SC 29307-1039 | 2006-08-23 |
| 1801900865 | Mary Black Health System LLC | Family Medicine | 724 Hyatt St Ste D, Gaffney, SC 29341-2630 | 2006-08-18 |
| 1326061540 | Mary Black Health System LLC | Family Medicine | 5470 N Main St, Cowpens, SC 29330-9705 | 2006-07-26 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1720001076 | Mary Black Health System LLC | Family Medicine | 702 S Alabama Street, Chesnee, SC 29306 | 2006-07-26 |
| Street Address |
724 HYATT ST SUITE D |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839530 | Mary Black Health System LLC | Orthopaedic Surgery | 724 Hyatt St, Suite F, Gaffney, SC 29341-2630 | 2006-12-21 |
| 1447631569 | Tonya Reid | Registered Nurse | 724 Hyatt St, Gaffney, SC 29341-2630 | 2015-06-15 |
| 1912151424 | Spartanburg Medical Center | Internal Medicine | 724 Hyatt St, Gaffney, SC 29341-2630 | 2008-11-11 |
| 1699975300 | Mary Black Physicians Group, LLC | Durable Medical Equipment & Medical Supplies | 724 Hyatt St, Ste #f, Gaffney, SC 29341-2630 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811146756 | Sunbelt Medical Resources LLC | Durable Medical Equipment & Medical Supplies | 201 Overbrook Dr, Gaffney, SC 29341-1822 | 2008-09-16 |
| 1851575518 | Gaffney Hma Physician Management, Inc. | Durable Medical Equipment & Medical Supplies | 104 Professional Park, Suite A, Gaffney, SC 29340-2319 | 2007-12-18 |
| 1164587747 | Airway Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 1115 N Logan St, Gaffney, SC 29341-2022 | 2006-12-26 |
| 1811060650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 837 W Floyd Baker Blvd, Gaffney, SC 29341-1805 | 2006-11-17 |
| 1891894077 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1320 West Floyd Baker Boulevard, Gaffney, SC 29341-1416 | 2006-09-22 |
| 1215031026 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 229 W Buford St, Gaffney, SC 29341-2357 | 2006-09-12 |
| 1609983287 | Mary Black Health System LLC | Durable Medical Equipment & Medical Supplies | 724 Hyatt St Ste 2-d, Gaffney, SC 29341-2630 | 2006-08-23 |
| 1619912490 | Transhealth Inc. | Durable Medical Equipment & Medical Supplies | 1252 Overbrook Dr, Suite 11, Gaffney, SC 29341-1057 | 2006-06-17 |
| 1215450309 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1320 W Floyd Baker Blvd, Gaffney, SC 29341 | 2017-07-20 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| Find all providers in GAFFNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.