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MARY BLACK HEALTH SYSTEM, LLC
NPI 1710995105
Durable Medical Equipment & Medical Supplies in Spartanburg, SC

Active since August 03, 2006
123 DILLON DR, SPARTANBURG, SC 29307(864) 585-8064 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mary Black Health System, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BLACK HEALTH SYSTEM, LLC (NPI 1710995105), doing business as Kiesau Gynecology Associates, is a healthcare organization registered as a durable medical equipment & medical supplies in Spartanburg, South Carolina and active in the NPI registry since August 2006. The organization lists Rebecca Hurley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1710995105
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK HEALTH SYSTEM, LLC
Location Address123 DILLON DRSpartanburg, SC 29307-1017
Mailing Address138 Dillon Dr Ste ASpartanburg, SC 29307-1018 · (864) 542-8980 · Fax (864) 515-9994
Phone(864) 585-8064
Organization SubpartNo
Authorized OfficialRebecca HurleySenior Vice President · (214) 473-3993
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1710995105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

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.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X

Other Names 1

Doing Business AsKiesau Gynecology Associates

Other Identifiers 1

MedicaidGP3445SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE DAVID CENTER
Behavior Analyst
123 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 735-8735
NEUROLOGIC CARE OF SPARTANBURG PA
Psychiatry & Neurology (Neurology)
123 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 582-2000
MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
123 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 458-5806
HEATHER NASUTI BCBA
Behavior Analyst
123 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 735-8735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Black Health System, LLC's NPI number?

The NPI number for Mary Black Health System, LLC is 1710995105. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Kiesau Gynecology Associates.

Where is Mary Black Health System, LLC located?

Mary Black Health System, LLC is located at 123 Dillon Dr, Spartanburg, SC 29307. The listed phone number is (864) 585-8064.

What is Mary Black Health System, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mary Black Health System, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.