1508809542 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
- 139 MAIN STREET
OLANTA, SC 29114 - Phone
- (803) 433-1216
- Fax
- (803) 433-6796
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 |
|---|---|---|---|---|---|
| Family Nurse Practitioner Family | 363LF0000X | Nurse Practitioner | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | 27146 | SC | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4400 | 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 1508809542.
Which doctor has NPI number 1508809542?
The doctor with NPI number 1508809542 is BLACK RIVER HEALTHCARE, INC..
What is BLACK RIVER HEALTHCARE, INC.'s practice address?
BLACK RIVER HEALTHCARE, INC.'s practice address is 139 MAIN STREET, OLANTA, SC, 29114.
Which doctor practices at 139 MAIN STREET, OLANTA, SC, 29114?
BLACK RIVER HEALTHCARE, INC. practices at 139 MAIN STREET, OLANTA, SC, 29114.
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 1508809542 still active?
Yes, NPI 1508809542 is currently active.
Where does BLACK RIVER HEALTHCARE, INC. practice?
BLACK RIVER HEALTHCARE, INC. practices in OLANTA, SC.