BLACK RIVER HEALTHCARE, INC.


Address: 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556
Phone: 8433551425

BLACK RIVER HEALTHCARE, INC. (NPI# 1699969733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699969733
Entity Type Organization
Organization Name BLACK RIVER HEALTHCARE, INC.
Other Organization Name KINGSTREE WOMEN'S CENTER
Practice Address 500 Thurgood Marshall Boulevard
Suite A
Kingstree
SC 29556
Mailing Address Po Box 578
Manning
SC 29102-0578
Practice Telephone 8433551425
Practice Fax Number 8433551429
Mailing Telephone 8433551425
Mailing Fax Number 8433551429
Enumeration Date 2007-08-31
Last Update Date 2008-12-11
Authorized Official Name MS. BARBARA F. BROOKS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8034336790
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
999 SC Allopathic & Osteopathic Physicians
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Kingstree Women's Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992077424 Black River Healthcare, Inc. Nurse Practitioner 11 W. Hospital St., Manning, SC 29102-2925 2012-01-30
1275566440 Black River Healthcare, Inc. Registered Nurse 206 East Market Street, Timmonsville, SC 29161 2006-07-09
1508809542 Black River Healthcare, Inc. Clinic/Center 139 Main Street, Olanta, SC 29114 2006-06-14
1497798599 Black River Healthcare, Inc. Clinic/Center 520 Thurgood Marshall Blvd., Suite B, Kingstree, SC 29556 2006-06-14
1376841064 Black River Healthcare, Inc. Clinic/Center 1879 N Westwood Blvd, Poplar Bluff, MO 63901-2833 2011-03-04
1871531574 Black River Healthcare, Inc. Pediatrics 12 W South St, Manning, SC 29102-2925 2006-06-03
1558308965 Black River Healthcare, Inc. Nurse Practitioner 86 N Main St, Greeleyville, SC 29056-9374 2006-06-02

Office Location

Street Address 500 THURGOOD MARSHALL BOULEVARD
SUITE A
City KINGSTREE
State SC
Zip Code 29556

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689198996 April Wilson Home Health Aide 706 Sandy Bay Rd, Kingstree, SC 29556 2017-07-28
1588000657 Jennifer Moore Lamb Registered Nurse 500 North Academy St, Building K, Kingstree, SC 29556 2013-05-16
1619227014 Hallie Mcnair Dubose Pharmacist 120 North Longstreet St, Kingstree, SC 29556 2012-09-12
1457578486 Dawkins Medical Transport Ambulance 89 Drylog Avenue, Kingstree, SC 29556 2007-04-19
1306971502 Vital Aging of Williamsburg County, Inc. Home Delivered Meals 501 North Longstreet Street, Kingstree, SC 29556 2007-02-21
1356489579 Harry Wells Floyd General Practice 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 2007-02-01
1306995782 Joann Conyers Lockhart Health Educator 500 Academy Street, Kingstree, SC 29556 2007-01-09
1497825723 The Youth Academy Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 237 Lela Harrison Road, Kingstree, SC 29556 2006-11-08
1427151109 South Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 120 N Longst St, Kingstree, SC 29556 2006-09-07
1497798599 Black River Healthcare, Inc. Clinic/Center 520 Thurgood Marshall Blvd., Suite B, Kingstree, SC 29556 2006-06-14
Find all providers in zip 29556

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942702659 Medical Outreach Clinic of Summerville Inc Clinic/Center 316 W Carolina Ave, Summerville, SC 29483-4359 2018-03-08
1407213895 Altruism Home Care Clinic/Center 2675 Maidenhair Ln, Sumter, SC 29153-9521 2016-01-15
1316291172 Beaufort Jasper Hampton Comprehensive Health Services, Inc. Clinic/Center 200 Elm St E, Hampton, SC 29924-3430 2012-11-01
1598019341 Beaufort Jasper Hampton Comprehensive Health Services, Inc. Clinic/Center 776 2nd St E, Estill, SC 29918-4926 2012-11-01
1629322466 Beaufort Jasper Hampton Comprehensive Health Services, Inc. Clinic/Center 1520 Grays Hwy, Ridgeland, SC 29936-5440 2012-11-01
1720332794 Beaufort Jasper Hampton Comprehensive Health Services, Inc. Clinic/Center 552 Stiney Road, Hardeeville, SC 29927-0369 2012-10-30
1427302470 Beaufort Jasper Hampton Comprehensive Health Services, Inc. Clinic/Center 6315 Jonathan Francis Sr. Rd., St. Helena Island, SC 29920-5401 2012-10-30
1801178918 Community Medicine Foundation Clinic/Center 313 Fargo St, Rock Hill, SC 29732-2870 2011-09-14
1013299148 Community Medicine Foundation Clinic/Center 382 Workman St, Rock Hill, SC 29730-6354 2011-09-14
1669676201 Family Health Centers, Inc. Clinic/Center 7061 Norway Rd, Neeses, SC 29107-9021 2007-06-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City KINGSTREE
Zip Code 29556

Improve Information

Please comment or provide details below to improve the information on BLACK RIVER HEALTHCARE, INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches