SQUIRES POINTE MEDICAL PARK – NPI #1861415085
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.

Health Care Provider Taxonomy Code for Family Medicine

SQUIRES POINTE MEDICAL PARK is a provider located in DUNCAN, SC. NPPES has assigned the NPI number 1861415085 to SQUIRES POINTE MEDICAL PARK on July 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SQUIRES POINTE MEDICAL PARK” 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 18 years ago on Jun 25, 2008. 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 SQUIRES POINTE MEDICAL PARK below.

NPI Profile for
MARY BLACK HEALTH SYSTEM LLC

NPI Number
1861415085
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): SQUIRES POINTE MEDICAL PARK
Primary location
500 SQUIRES POINTE
DUNCAN, SC 29334
Phone: (864) 433-8980 Fax:
Mailing address
PO BOX 406757
ATLANTA, GA 30384-6757
Phone: (864) 253-8080 Fax:
Organization Subpart
Yes - SQUIRES POINTE MEDICAL PARK is subpart of another organization.
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7000
Updated
Identifiers

Identifiers for SQUIRES POINTE MEDICAL PARK

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
MEDICAIDSCGP2924
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.