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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: August 16, 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
Phone(803) 433-1216
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
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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 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 Healthcare, Inc.'s NPI number?

The NPI number for Black River Healthcare, Inc. is 1275566440. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Black River Healthcare, Inc. located?

Black River Healthcare, Inc. is located at 206 East Market Street, Timmonsville, SC 29161. The listed phone number is (803) 433-1216.

What is Black River Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Black River Healthcare, Inc. was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.