Brh - Kingstree
LBN: Black River Healthcare, Inc.
Brh - Kingstree is an health care organization with primary practice located at 520 Thurgood Marshall Blvd. Suite B, Kingstree SC 29556. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Black River Healthcare, Inc. can be contacted via phone (843) 355-5628, or through Brooks, Barbara via phone (803) 433-1216.
Contact Information
Primary practice address
520 Thurgood Marshall Blvd. Suite B
Kingstree SC 29556
Phone: (843) 355-5628
Fax: (843) 355-6072
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
NPI number | 1497798599 |
---|---|
LBN Legal business name | Black River Healthcare, Inc. |
DBA Doing business as | Brh - Kingstree |
Authorized official | Brooks, Barbara |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jun 14th, 2006 |
Last updated | Apr 8th, 2008 - about 17 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 | 1497798599 | NPPES |
South Carolina | Other | 4397 | MEDICARE PART B |
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