BLACK RIVER HEALTHCARE, INC.
NPI 1275566440
Family Medicine in Timmonsville, SC

Active since July 09, 2006
206 EAST MARKET STREET, TIMMONSVILLE, SC 29161(803) 433-1216 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Black River Healthcare, Inc. NPPES

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

BLACK RIVER HEALTHCARE, INC. (NPI 1275566440) is a healthcare organization registered as a family medicine in Timmonsville, South Carolina and active in the NPI registry since July 2006. The organization lists Barbara F. Brooks, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1275566440
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK RIVER HEALTHCARE, INC.
Location Address206 EAST MARKET STREETTimmonsville, SC 29161
Mailing AddressPo Box 578Manning, SC 29102-0578 · (803) 433-1216 · Fax (803) 433-6796
Organization SubpartYes
Authorized OfficialBarbara F. BrooksChief Executive Officer · (803) 433-1216
Enumeration DateJuly 9, 2006
Last NPPES UpdateJanuary 6, 2009
NPI 1275566440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 27146
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedRegistered NurseTaxonomy 163W00000X · License 79153 (SC)
Also ListedPediatricsTaxonomy 208000000X · License 16299 (SC)
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
206 EAST MARKET STREET, Timmonsville, SC 29161

Other Identifiers 2

Medicare OSCAR/certification421898SC
Other5009SC · Medicare Part B

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275566440, enumerated as an "organization" on July 09, 2006.

The provider is located at 206 EAST MARKET STREET TIMMONSVILLE, SC 29161 and the phone number is (803) 433-1216.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.