1275566440 BLACK RIVER HEALTHCARE, INC.

Family Medicine Physician

Active

Basic Information

Organization Name
BLACK RIVER HEALTHCARE, INC.
Enumeration Date
July 9, 2006
Last Update
January 6, 2009
Authorized Official
MRS. BARBARA F. BROOKS
CHIEF EXECUTIVE OFFICER
Phone: (803) 433-1216

Practice Location

Address
206 EAST MARKET STREET
TIMMONSVILLE, SC 29161
Phone
(803) 433-1216

Mailing Address

Address
PO BOX 578
MANNING, SC 291020578
Phone
(803) 433-1216
Fax
(803) 433-6796

Specialties & Taxonomies

Specialty Code Classification License State Primary
Registered Nurse
163W00000X Registered Nurse 79153 SC No
Pediatrics Physician
208000000X Pediatrics 16299 SC No
General Practice Physician
208D00000X General Practice N/A N/A No
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine 27146 SC Primary

Other Identifiers

Identifier Type State Issuer
5009 01 SC MEDICARE PART B

Frequently Asked Questions

What is BLACK RIVER HEALTHCARE, INC.'s NPI number?
BLACK RIVER HEALTHCARE, INC.'s NPI number is 1275566440.
Which doctor has NPI number 1275566440?
The doctor with NPI number 1275566440 is BLACK RIVER HEALTHCARE, INC..
What is BLACK RIVER HEALTHCARE, INC.'s practice address?
BLACK RIVER HEALTHCARE, INC.'s practice address is 206 EAST MARKET STREET, TIMMONSVILLE, SC, 29161.
Which doctor practices at 206 EAST MARKET STREET, TIMMONSVILLE, SC, 29161?
BLACK RIVER HEALTHCARE, INC. practices at 206 EAST MARKET STREET, TIMMONSVILLE, SC, 29161.
What is BLACK RIVER HEALTHCARE, INC.'s mailing address?
BLACK RIVER HEALTHCARE, INC.'s mailing address is PO BOX 578, MANNING, SC, 291020578.
What is BLACK RIVER HEALTHCARE, INC.'s phone number?
BLACK RIVER HEALTHCARE, INC.'s phone number is (803) 433-1216.
Who is (803) 433-1216?
(803) 433-1216 is the phone number for BLACK RIVER HEALTHCARE, INC..
What is BLACK RIVER HEALTHCARE, INC.'s specialty?
BLACK RIVER HEALTHCARE, INC.'s specialty is Family Medicine Physician.
What type of doctor is BLACK RIVER HEALTHCARE, INC.?
BLACK RIVER HEALTHCARE, INC. is a Family Medicine Physician.
Is BLACK RIVER HEALTHCARE, INC. a Family Medicine?
Yes, BLACK RIVER HEALTHCARE, INC. is a Family Medicine.
Is BLACK RIVER HEALTHCARE, INC. still practicing?
Yes, BLACK RIVER HEALTHCARE, INC. is currently practicing.
Is BLACK RIVER HEALTHCARE, INC. accepting new patients?
BLACK RIVER HEALTHCARE, INC. may be accepting new patients. Please call their office at (803) 433-1216 to inquire about availability.
Is NPI 1275566440 still active?
Yes, NPI 1275566440 is currently active.
Where does BLACK RIVER HEALTHCARE, INC. practice?
BLACK RIVER HEALTHCARE, INC. practices in TIMMONSVILLE, SC.