Brh - Olanta
LBN: Black River Healthcare, Inc.
Brh - Olanta is an health care organization with primary practice located at 139 Main Street , Olanta SC 29114. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. 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 via phone (803) 433-1216.
Contact Information
Primary practice address
139 Main Street
Olanta SC 29114
Phone: (803) 433-1216
Fax: (803) 433-6796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 27146 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1508809542 |
|---|---|
| LBN Legal business name | Black River Healthcare, Inc. |
| DBA Doing business as | Brh - Olanta |
| 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 | 1508809542 | NPPES |
| South Carolina | Other | 4400 | MEDICARE PART B |
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