Bass Urology

LBN: Mary Black Health System, Llc
Bass Urology is an health care organization with primary practice located at 1 Doctors Park Dr , Spartanburg SC 29307-1021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Mary Black Health System, Llc can be contacted via phone (864) 585-2587, or through Brewer, Debbie via phone (615) 465-7000.

Contact Information

Primary practice address
1 Doctors Park Dr Spartanburg SC 29307-1021
Phone: (864) 585-2587
Fax: (864) 585-2141
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (615) 465-7000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1376551713
LBN Legal business name Mary Black Health System, Llc
DBA Doing business as Bass Urology
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Aug 14th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376551713 NPPES
South Carolina MEDICAID GP3679

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