CHESNEE MEDICAL ASSOCIATES – NPI #1720001076
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CHESNEE MEDICAL ASSOCIATES is a provider located in CHESNEE, SC. NPPES has assigned the NPI number 1720001076 to CHESNEE MEDICAL ASSOCIATES on July 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHESNEE MEDICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is MARY BLACK HEALTH SYSTEM LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Aug 14, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHESNEE MEDICAL ASSOCIATES below.

NPI Profile for
MARY BLACK HEALTH SYSTEM LLC

NPI Number
1720001076
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARY BLACK HEALTH SYSTEM LLC
Doing Business As (dba): CHESNEE MEDICAL ASSOCIATES
Primary location
702 S ALABAMA STREET
CHESNEE, SC 29306
Phone: (864) 703-1414 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - CHESNEE MEDICAL ASSOCIATES is subpart of another organization.
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7000
Updated
Identifiers

Identifiers for CHESNEE MEDICAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP3769
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.