Brh - Kingstree

LBN: Black River Healthcare, Inc.
Brh - Kingstree is an health care organization with primary practice located at 520 Thurgood Marshall Blvd. Suite B, Kingstree SC 29556. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Black River Healthcare, Inc. can be contacted via phone (843) 355-5628, or through Brooks, Barbara via phone (803) 433-1216.

Contact Information

Primary practice address
520 Thurgood Marshall Blvd. Suite B Kingstree SC 29556
Phone: (843) 355-5628
Fax: (843) 355-6072
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Barbara
Phone: (803) 433-1216

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1497798599
LBN Legal business name Black River Healthcare, Inc.
DBA Doing business as Brh - Kingstree
Authorized official Brooks, Barbara
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 14th, 2006
Last updated Apr 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497798599 NPPES
South Carolina Other 4397 MEDICARE PART B

Popular Providers