Brh - Manning

LBN: Black River Healthcare, Inc.
Brh - Manning is an health care organization with primary practice located at 12 W South St , Manning SC 29102-2925. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, 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 F. via phone (803) 433-1216.

Contact Information

Primary practice address
12 W South St Manning SC 29102-2925
Phone: (803) 433-1216
Fax: (803) 433-6796
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Barbara F.
Phone: (803) 433-1216

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 16299 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1871531574
LBN Legal business name Black River Healthcare, Inc.
DBA Doing business as Brh - Manning
Authorized official Brooks, Barbara F.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Nov 18th, 2010 - about 14 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 1871531574 NPPES
Other 4398 MEDICARE PART B

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