MARY BLACK MEMORIAL HOSPITAL
NPI 1083640981
Internal Medicine - Cardiovascular Disease in Spartanburg, SC

NPI Status: Active since June 23, 2006

Contact Information

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

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine
Cardiovascular Disease

About MARY BLACK MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Mary Black Memorial Hospital, an internist established in Spartanburg, South Carolina operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1083640981 assigned on June 2006. The practitioner's primary taxonomy code is 207RC0000X with license number HTL-704 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. Mary Black Memorial Hospital operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mary Black Memorial Hospital. The authorized official of this NPI record is Rebecca Hurley (Senior Vice President)

NPI: 1083640981
Provider Legal Name: MARY BLACK HEALTH SYSTEM LLC
Other Organization Name: MARY BLACK MEMORIAL HOSPITAL
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1700 SKYLYN DR SPARTANBURG, SC 29307
Location Phone: (864) 573-3000
Location Fax: (864) 573-3277
Mailing Address: 1700 SKYLYN DR PO BOX 3217 SPARTANBURG, SC 29307
Mailing Phone: (864) 573-3000
Mailing Fax: (864) 573-3277
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-23-2006
Last Update Date: 08-22-2020
Code Navigator

An internist like Mary Black Memorial Hospital is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine Cardiovascular Disease
Taxonomy Code: 207RC0000X
Type: Allopathic & Osteopathic Physicians
License No.: HTL-704
License State: SC
Taxonomy Description: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: REBECCA HURLEY
Authorized Official Title: SENIOR VICE PRESIDENT
Authorized Official Phone: (214) 473-3993

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
GP1764	MEDICAID (05)	SC

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	8	3	6	4	0	9	8	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	16	3	12	4	0	9	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 2 + 4 + 0 + 9 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1083640981 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MR. JOHN ROBERT BURCHFIELD M.D.

Specialist

1700 SKYLYN DR
SPARTANBURG, SC
ZIP 29307

About MARY BLACK MEMORIAL HOSPITAL

Location Map

Specialty - Primary Taxonomy

Internal Medicine Cardiovascular Disease

Secondary Taxonomies

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

REBECCA HURLEY

Additional Identifiers

Reviews for MARY BLACK MEMORIAL HOSPITAL

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is MARY BLACK HEALTH SYSTEM LLC's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does MARY BLACK HEALTH SYSTEM LLC accept?