# MARY BLACK HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Black Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083640981
- **Authorized official:** REBECCA HURLEY (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (214) 473-3993

## Contact information

- **Practice address:** 1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
- **Practice address phone:** (864) 573-3000
- **Practice address fax:** (864) 573-3277
- **Mailing address:** 1700 SKYLYN DR, PO BOX 3217, SPARTANBURG, SC 29307-1041
- **Mailing address phone:** (864) 573-3000
- **Mailing address fax:** (864) 573-3277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | HTL-704 | SC | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | HTL-704 | SC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 09/11/2025