1093703886 BLACK RIVER HEALTH SERVICES INC
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- BLACK RIVER HEALTH SERVICES INC
- Enumeration Date
- October 6, 2005
- Last Update
- December 12, 2019
- Authorized Official
- LEE ANN AMANN
ADMINISTRATOR
Phone: (910) 259-6973
Practice Location
- Address
- 301 S CAMPBELL ST
BURGAW, NC 284255011 - Phone
- (910) 259-5721
- Fax
- (910) 259-8002
Mailing Address
- Address
- 301 S CAMPBELL ST
BURGAW, NC 284255011 - Phone
- (910) 259-6973
- Fax
- (910) 259-6975
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Family Medicine | 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 | N/A | N/A | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104X | 01 | N/A | BCBS |
| 343905AC | 05 | NC | N/A |
Frequently Asked Questions
What is BLACK RIVER HEALTH SERVICES INC's NPI number?
BLACK RIVER HEALTH SERVICES INC's NPI number is 1093703886.
Which doctor has NPI number 1093703886?
The doctor with NPI number 1093703886 is BLACK RIVER HEALTH SERVICES INC.
What is BLACK RIVER HEALTH SERVICES INC's practice address?
BLACK RIVER HEALTH SERVICES INC's practice address is 301 S CAMPBELL ST, BURGAW, NC, 284255011.
Which doctor practices at 301 S CAMPBELL ST, BURGAW, NC, 284255011?
BLACK RIVER HEALTH SERVICES INC practices at 301 S CAMPBELL ST, BURGAW, NC, 284255011.
What is BLACK RIVER HEALTH SERVICES INC's phone number?
BLACK RIVER HEALTH SERVICES INC's phone number is (910) 259-5721.
Who is (910) 259-5721?
(910) 259-5721 is the phone number for BLACK RIVER HEALTH SERVICES INC.
What is BLACK RIVER HEALTH SERVICES INC's specialty?
BLACK RIVER HEALTH SERVICES INC's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is BLACK RIVER HEALTH SERVICES INC?
BLACK RIVER HEALTH SERVICES INC is a Federally Qualified Health Center (FQHC).
Is BLACK RIVER HEALTH SERVICES INC a Federally Qualified Health Center (FQHC)?
Yes, BLACK RIVER HEALTH SERVICES INC is a Federally Qualified Health Center (FQHC).
Is BLACK RIVER HEALTH SERVICES INC still practicing?
Yes, BLACK RIVER HEALTH SERVICES INC is currently practicing.
Is BLACK RIVER HEALTH SERVICES INC accepting new patients?
BLACK RIVER HEALTH SERVICES INC may be accepting new patients. Please call their office at (910) 259-5721 to inquire about availability.
Is NPI 1093703886 still active?
Yes, NPI 1093703886 is currently active.
Where does BLACK RIVER HEALTH SERVICES INC practice?
BLACK RIVER HEALTH SERVICES INC practices in BURGAW, NC.