Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
The Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SR VP)
21444733993
Entity
Organization
Contact information
Practice address
1690 SKYLYN DR STE 350, SPARTANBURG, SC 29307-1039
(864) 596-7428
Mailing address
138 DILLON DR STE A, SPARTANBURG, SC 29307-1018
(864) 542-8980
(864) 515-9994
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2908
—
SC
Enumeration date
08/23/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us