1871531574 BLACK RIVER HEALTHCARE, INC.

Family Medicine Physician

Active

Basic Information

Organization Name
BLACK RIVER HEALTHCARE, INC.
Enumeration Date
June 3, 2006
Last Update
November 18, 2010
Authorized Official
MS. BARBARA F. BROOKS
CHIEF EXECUTIVE OFFICER
Phone: (803) 433-1216

Practice Location

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

Mailing Address

Address
12 W SOUTH ST
PO BOX 578
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
Social Worker
104100000X Social Worker N/A N/A No
Family Nurse Practitioner
Family
363LF0000X Nurse Practitioner N/A N/A No
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center 16299 SC No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
4398 01 N/A MEDICARE PART B

Frequently Asked Questions

What is BLACK RIVER HEALTHCARE, INC.'s NPI number?
BLACK RIVER HEALTHCARE, INC.'s NPI number is 1871531574.
Which doctor has NPI number 1871531574?
The doctor with NPI number 1871531574 is BLACK RIVER HEALTHCARE, INC..
What is BLACK RIVER HEALTHCARE, INC.'s practice address?
BLACK RIVER HEALTHCARE, INC.'s practice address is 12 W SOUTH ST, MANNING, SC, 291022925.
Which doctor practices at 12 W SOUTH ST, MANNING, SC, 291022925?
BLACK RIVER HEALTHCARE, INC. practices at 12 W SOUTH ST, MANNING, SC, 291022925.
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 1871531574 still active?
Yes, NPI 1871531574 is currently active.
Where does BLACK RIVER HEALTHCARE, INC. practice?
BLACK RIVER HEALTHCARE, INC. practices in MANNING, SC.