Black River Family Practice At Rocky Point

LBN: Black River Health Services, Inc.
Black River Family Practice At Rocky Point is an health care organization with primary practice located at 7910 Us Highway 117 S Suite 120, Rocky Point NC 28457-7409. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Black River Health Services, Inc. can be contacted via phone (910) 675-0120, or through Martin, Thomas Scott via phone (910) 259-6973.

Contact Information

Primary practice address
7910 Us Highway 117 S Suite 120 Rocky Point NC 28457-7409
Phone: (910) 675-0120
Fax: (910) 675-2308
Website:
Map and Directions
Authorized official contact:
Name: Martin, Thomas Scott
Phone: (910) 259-6973

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X North Carolina

Profile Details

NPI number 1013101781
LBN Legal business name Black River Health Services, Inc.
DBA Doing business as Black River Family Practice At Rocky Point
Authorized official Martin, Thomas Scott
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Jul 21st, 2022 - about 2 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 1013101781 NPPES
North Carolina MEDICAID 5908417
North Carolina Other 020A0

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