Black River Healthcare, Inc.

LBN: Black River Healthcare, Inc.
Black River Healthcare, Inc. is an health care organization with primary practice located at 206 East Market Street , Timmonsville SC 29161. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Black River Healthcare, Inc. can be contacted via phone (803) 433-1216, or through Brooks, Barbara F. via phone (803) 433-1216.

Contact Information

Primary practice address
206 East Market Street Timmonsville SC 29161
Phone: (803) 433-1216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Barbara F.
Phone: (803) 433-1216

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 79153 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27146 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16299 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1275566440
LBN Legal business name Black River Healthcare, Inc.
DBA Doing business as
Authorized official Brooks, Barbara F.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 9th, 2006
Last updated Jan 6th, 2009 - about 15 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 1275566440 NPPES
South Carolina Other 5009 MEDICARE PART B

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