MARY BLACK HEALTH SYSTEM LLC NPI 1992990501

NPI Information

  • NPI: 1992990501
  • Provider Name: MARY BLACK HEALTH SYSTEM LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: PEACHVIEW URGENT CARE
  • Address: 724 HYATT ST
    SUITE D
    GAFFNEY, SC
    ZIP 29341
  • Phone: (864) 489-5001

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NPI Details

MARY BLACK HEALTH SYSTEM LLC is a durable medical equipment medical supplies in Gaffney, SC. The provider is 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. MARY BLACK HEALTH SYSTEM LLC NPI is 1992990501. The provider is registered as an organization entity type.
The provider Is Doing Business As Peachview Urgent Care.

The provider's business location address is:

724 HYATT ST
SUITE D
GAFFNEY, SC
ZIP 29341-630
Phone: (864) 489-5001
Fax: (864) 488-3958

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10456110022OTHERSOUTH CAROLINAMEDICARE DME PIN

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: 3/30/2025

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