MARY BLACK PHYSICIANS GROUP LLC (NPI# 1639254683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639254683 |
Entity Type | Organization |
Organization Name | MARY BLACK PHYSICIANS GROUP LLC |
Other Organization Name | FAMILY PRACTICE ASSOCIATES PA |
Practice Address |
429 E Main St Union SC 29379-1902 |
Practice Telephone | 8644279045 |
Practice Fax Number | 8644278826 |
Mailing Telephone | 8644279045 |
Mailing Fax Number | 8644278826 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2008-08-11 |
Authorized Official Name | DEBBIE T BREWER (DIRECTOR) |
Authorized Official Telephone | 8778929813 |
Is Organization Subpart | Y |
Parent Organization Name | MARY BLACK PHYSICIANS GROUP LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Family Practice Associates PA | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164667283 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5229 Hwy 221, Roebuck, SC 29376-3305 | 2008-12-03 |
1427276203 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 170 Camelot Dr, Spartanburg, SC 29301-2650 | 2007-04-24 |
1235357260 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 145 Dillon Dr # B, Spartanburg, SC 29307-1017 | 2007-04-23 |
1619339660 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2016-03-28 |
1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
1053556191 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-03 |
1053511766 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Ste 290, Spartanburg, SC 29301-5628 | 2007-07-20 |
1669672358 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5470 N Main St, Cowpens, SC 29330-9705 | 2007-07-20 |
1336344852 | Mary Black Physicians Group LLC | Clinic/Center | 5229 Highway 221, Roebuck, SC 29376-3305 | 2007-06-15 |
1457555120 | Mary Black Physicians Group LLC | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2007-06-14 |
Street Address |
429 E MAIN ST |
City | UNION |
State | SC |
Zip Code | 29379-1902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346261690 | Robert M. Wentz | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2006-07-22 |
1336615095 | Zilris, Inc. | Counselor | 429 E Main St, Union, SC 29379-1902 | 2018-10-22 |
1881079093 | Spartanburg Medical Center | Nurse Practitioner | 429 E Main St, Union, SC 29379-1902 | 2015-07-29 |
1346576360 | Union Hospital District | Clinic/Center | 429 E Main St, Union, SC 29379-1902 | 2009-10-27 |
1255570669 | Union Hospital District | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2009-02-09 |
1740425305 | Mary Black Physicians Group, LLC | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2008-12-11 |
1467473728 | Family Practice Associates, Pa | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
1891045118 | Crystal Berry Earls | Pharmacist | 109 Beechtree Place, Union, SC 29379 | 2012-09-13 |
1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
1215185178 | Oakmont of Union Sc LLC | Assisted Living Facility | 709 Rice Street, Union, SC 29379 | 2008-09-04 |
1700072444 | Union Hospital District | Obstetrics & Gynecology | 720 South Duncan Bypass, Suite C, Union, SC 29379 | 2007-09-17 |
1154449130 | Whitney Connolly Leary | Speech-Language Pathologist | 720 A South Duncan Bypass, Union, SC 29379 | 2007-03-27 |
1467577353 | Kathryn Cook Scales | Counselor | 323 W South Street, Union, SC 29379 | 2007-03-20 |
1104957901 | Owen K Woolever | Physical Therapist | 720 A S Duncan Bypass, Union, SC 29379 | 2007-03-07 |
Find all providers in zip 29379 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487715819 | Union Hospital District | Clinic/Center | 407 W. South St. Ste. C, Union, SC 29379-2771 | 2006-12-12 |
1003876566 | Rush Care, Inc. | Clinic/Center | 24345 Hwy15, Union, MS 39365-8575 | 2006-03-27 |
1144722919 | Union Medical Center | Clinic/Center | 407 W South St, Union, SC 29379-2771 | 2018-03-07 |
1184126955 | Union Medical Center | Clinic/Center | 322 W South St, Union, SC 29379-2839 | 2018-03-07 |
1780186569 | Union Medical Center | Clinic/Center | 319 W South St, Union, SC 29379-2838 | 2018-03-07 |
1780068080 | Grande Ronde Hospital, Inc | Clinic/Center | 142 E Dearborn, Union, OR 97883 | 2015-07-16 |
1851608368 | Union Hospital District | Clinic/Center | 801 W Main St, Union, SC 29379-2717 | 2010-09-03 |
1346576360 | Union Hospital District | Clinic/Center | 429 E Main St, Union, SC 29379-1902 | 2009-10-27 |
1144496829 | Union Hospital District | Clinic/Center | 801 W Main St, Union, SC 29379-2717 | 2008-05-02 |
1407022189 | Union Hospital District | Clinic/Center | 407 W. South St. Ste. C, Union, SC 29379-2771 | 2008-05-02 |
Find all providers in UNION |
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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.