Black River Health Center
LBN: Black River Health Services Inc
Black River Health Center is an health care organization with primary practice located at 109 W Church St , Atkinson NC 28421-9230. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Black River Health Services Inc can be contacted via phone (910) 283-7783, or through Amann, Lee Ann via phone (910) 259-6973.
Contact Information
Primary practice address
109 W Church St
Atkinson NC 28421-9230
Phone: (910) 283-7783
Fax: (910) 283-7927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1174511976 |
|---|---|
| LBN Legal business name | Black River Health Services Inc |
| DBA Doing business as | Black River Health Center |
| Authorized official | Amann, Lee Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 12th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511976 | NPPES |
| North Carolina | MEDICAID | 343867AC | |
| North Carolina | Other | 03009 |
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