1558308965 BLACK RIVER HEALTHCARE, INC.
Family Medicine Physician
Active
Basic Information
- Organization Name
- BLACK RIVER HEALTHCARE, INC.
- Enumeration Date
- June 2, 2006
- Last Update
- April 8, 2008
- Authorized Official
- LESLIE FREEMAN
CREDENTIALING COORDINATOR
Phone: (803) 433-1216
Practice Location
- Address
- 86 N MAIN ST
GREELEYVILLE, SC 290569374 - Phone
- (843) 426-2180
- Fax
- (843) 426-2182
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 |
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | 985 | SC | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4399 | 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 1558308965.
Which doctor has NPI number 1558308965?
The doctor with NPI number 1558308965 is BLACK RIVER HEALTHCARE, INC..
What is BLACK RIVER HEALTHCARE, INC.'s practice address?
BLACK RIVER HEALTHCARE, INC.'s practice address is 86 N MAIN ST, GREELEYVILLE, SC, 290569374.
Which doctor practices at 86 N MAIN ST, GREELEYVILLE, SC, 290569374?
BLACK RIVER HEALTHCARE, INC. practices at 86 N MAIN ST, GREELEYVILLE, SC, 290569374.
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 (843) 426-2180.
Who is (843) 426-2180?
(843) 426-2180 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) 426-2180 to inquire about availability.
Is NPI 1558308965 still active?
Yes, NPI 1558308965 is currently active.
Where does BLACK RIVER HEALTHCARE, INC. practice?
BLACK RIVER HEALTHCARE, INC. practices in GREELEYVILLE, SC.