1497798599 BLACK RIVER HEALTHCARE, INC.

Family Medicine Physician

Active

Basic Information

Organization Name
BLACK RIVER HEALTHCARE, INC.
Enumeration Date
June 14, 2006
Last Update
April 8, 2008
Authorized Official
MS. BARBARA BROOKS
CHIEF EXECUTIVE OFFICER
Phone: (803) 433-1216

Practice Location

Address
520 THURGOOD MARSHALL BLVD.
SUITE B
KINGSTREE, SC 29556
Phone
(843) 355-5628
Fax
(843) 355-6072

Mailing Address

Address
12 W SOUTH ST
MANNING, SC 291022925
Phone
(803) 433-1216
Fax
(803) 433-6796

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pediatrics Physician
208000000X Pediatrics N/A N/A No
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
Nurse Practitioner
363L00000X Nurse Practitioner N/A N/A No
Advanced Practice Midwife
367A00000X Advanced Practice Midwife N/A N/A No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology 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 N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
4397 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 1497798599.
Which doctor has NPI number 1497798599?
The doctor with NPI number 1497798599 is BLACK RIVER HEALTHCARE, INC..
What is BLACK RIVER HEALTHCARE, INC.'s practice address?
BLACK RIVER HEALTHCARE, INC.'s practice address is 520 THURGOOD MARSHALL BLVD., SUITE B, KINGSTREE, SC, 29556.
Which doctor practices at 520 THURGOOD MARSHALL BLVD., SUITE B, KINGSTREE, SC, 29556?
BLACK RIVER HEALTHCARE, INC. practices at 520 THURGOOD MARSHALL BLVD., SUITE B, KINGSTREE, SC, 29556.
What is BLACK RIVER HEALTHCARE, INC.'s mailing address?
BLACK RIVER HEALTHCARE, INC.'s mailing address is 12 W SOUTH ST, MANNING, SC, 291022925.
What is BLACK RIVER HEALTHCARE, INC.'s phone number?
BLACK RIVER HEALTHCARE, INC.'s phone number is (843) 355-5628.
Who is (843) 355-5628?
(843) 355-5628 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 (843) 355-5628 to inquire about availability.
Is NPI 1497798599 still active?
Yes, NPI 1497798599 is currently active.
Where does BLACK RIVER HEALTHCARE, INC. practice?
BLACK RIVER HEALTHCARE, INC. practices in KINGSTREE, SC.