Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
Mary Black Health System Spartanburg
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIREDTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
(864) 573-3277
Mailing address
1700 SKYLYN DR, PO BOX 3217, SPARTANBURG, SC 29307-1041
(864) 573-3000
(864) 573-3277
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382184
—
SC
05
—
400836
—
SC
Enumeration date
05/18/2006
Last updated
02/14/2018
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