MARY BLACK PHYSICIANS GROUP LLC


Address: 429 E Main St, Union, SC 29379-1902
Phone: 8644279045

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Family Practice Associates PA Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 429 E MAIN ST
City UNION
State SC
Zip Code 29379-1902

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City UNION
Zip Code 29379

Improve Information

Please comment or provide details below to improve the information on MARY BLACK PHYSICIANS GROUP LLC.

Dataset Information

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.

Trending Searches