Organization
GAFFNEY HMA LLC
Active
Other names
Mary Black Health System Gaffney
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1530 N LIMESTONE ST, GAFFNEY, SC 29340-4742
(864) 487-4271
Mailing address
1530 N LIMESTONE ST, GAFFNEY, SC 29340-4742
(864) 487-4271
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL476
SC
341600000X
Ambulance
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188208
—
SC
05
—
225118
—
SC
05
—
4200043
—
NC
05
—
420043
—
SC
05
—
4206699
—
NC
Enumeration date
06/15/2006
Last updated
04/06/2018
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