FOOTHILLS FAMILY MEDICINE BOILING SPRINGS
NPI 1922013721
Family Medicine in Boiling Springs, SC

NPI Status: Active since July 30, 2006

Contact Information

2212 OLD FURNACE RD
BOILING SPRINGS, SC
ZIP 29316
Phone: (864) 578-9735

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  • Organization
  • Family Medicine

About FOOTHILLS FAMILY MEDICINE BOILING SPRINGS

This page provides the complete NPI Profile along with additional information for Foothills Family Medicine Boiling Springs, a primary care provider established in Boiling Springs, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922013721 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Foothills Family Medicine Boiling Springs. The authorized official of this NPI record is Rebecca Hurley (Senior Vice President)

NPI
1922013721
Provider Legal Name
MARY BLACK HEALTH SYSTEM, LLC
Other Organization Name
FOOTHILLS FAMILY MEDICINE BOILING SPRINGS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2212 OLD FURNACE RD BOILING SPRINGS, SC 29316
Location Phone
(864) 578-9735
Mailing Address
PO BOX 406757 ATLANTA, GA 30384
Mailing Phone
(864) 253-8063
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-30-2006
Last Update Date
06-25-2008
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A primary care provider (PCP) like Foothills Family Medicine Boiling Springs sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Insurance Plans Accepted

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

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

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
5301MEDICARE PIN (08)SC 
GP1594MEDICAID (05)SC 

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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.
1922013721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294201674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 0 + 1 + 6 + 7 + 4 + 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 = 11

The NPI number 1922013721 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 4 providers are registered at the same or nearby location.

MR. JAMES RONALD GUIDA RPH

Pharmacist

2212 OLD FURNACE RD
BOILING SPRINGS, SC
ZIP 29316

(864) 599-0889

RON'S PHARMACY, INC.

Pharmacy

(Community/Retail Pharmacy)

2212 OLD FURNACE RD
BOILING SPRINGS, SC
ZIP 29316

(864) 599-0889

MARY BLACK PHYSICIANS GROUP LLC

Durable Medical Equipment & Medical Supplies

2212 OLD FURNACE RD
BOILING SPRINGS, SC
ZIP 29316

(864) 578-9735

MARY BLACK PHYSICIANS GROUP, LLC

Family Medicine

2212 OLD FURNACE RD
BOILING SPRINGS, SC
ZIP 29316

(864) 578-9735

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922013721, enumerated as an "organization" on July 30, 2006.

The provider is located at 2212 OLD FURNACE RD BOILING SPRINGS, SC 29316 and the phone number is (864) 578-9735.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.