BLACK RIVER HEALTH CENTER
NPI 1174511976
Clinic/Center - Federally Qualified Health Center (FQHC) in Atkinson, NC

Q: What is Black River Health Services Inc's NPI number?

The NPI number for Black River Health Services Inc is 1174511976. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Black River Health Center.

Q: What is Black River Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 06, 2005

109 W CHURCH ST, ATKINSON, NC 28421(910) 283-7783(910) 283-7927 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Black River Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK RIVER HEALTH CENTER (NPI 1174511976) is a healthcare organization registered as a federally qualified health center (fqhc) in Atkinson, North Carolina and active in the NPI registry since October 2005. The organization lists Lee Ann Amann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174511976

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBLACK RIVER HEALTH SERVICES INC

Location Address109 W CHURCH STAtkinson, NC 28421-9230

Mailing Address301 S Campbell StBurgaw, NC 28425-5011 · (910) 259-6973 · Fax (910) 259-6975

Phone(910) 283-7783

Fax(910) 283-7927

Organization SubpartNo

Authorized OfficialLee Ann AmannAdministrator · (910) 259-6973

Enumeration DateOctober 6, 2005

Last NPPES UpdateDecember 12, 2019

✔ NPI 1174511976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

109 W CHURCH ST, Atkinson, NC 28421

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Other Names 1

Doing Business AsBlack River Health Center

Other Identifiers 2

Medicaid343867ACNC

Other03009Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM FOSSETT FNP-C

Nurse Practitioner (Family)

109 W CHURCH ST
ATKINSON, NC 28421

Pender County (910) 283-7783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black River Health Services Inc's NPI number?

The NPI number for Black River Health Services Inc is 1174511976. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Black River Health Center.

Where is Black River Health Services Inc located?

Black River Health Services Inc is located at 109 W Church St, Atkinson, NC 28421. The listed phone number is (910) 283-7783.

What is Black River Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Black River Health Services Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Black River Health Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Black River Health Services Inc was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.