Brh - Greeleyville

LBN: Black River Healthcare, Inc.
Brh - Greeleyville is an health care organization with primary practice located at 86 N Main St , Greeleyville SC 29056-9374. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Black River Healthcare, Inc. can be contacted via phone (843) 426-2180, or through Freeman, Leslie via phone (803) 433-1216.

Contact Information

Primary practice address
86 N Main St Greeleyville SC 29056-9374
Phone: (843) 426-2180
Fax: (843) 426-2182
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Leslie
Phone: (803) 433-1216

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 985 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1558308965
LBN Legal business name Black River Healthcare, Inc.
DBA Doing business as Brh - Greeleyville
Authorized official Freeman, Leslie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Apr 8th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558308965 NPPES
South Carolina Other 4399 MEDICARE PART B

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