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BLACK RIVER FAMILY PRACTICE
NPI 1508266826
Non-Pharmacy Dispensing Site in Burgaw, NC

Active since August 25, 2014
301 S CAMPBELL ST, BURGAW, NC 28425(910) 259-5721 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Black River Family Practice NPPES

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

BLACK RIVER FAMILY PRACTICE (NPI 1508266826) is a healthcare organization registered as a non-pharmacy dispensing site in Burgaw, North Carolina and active in the NPI registry since August 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1508266826
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBLACK RIVER HEALTH SERVICES INC
Location Address301 S CAMPBELL STBurgaw, NC 28425-5011
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(910) 259-5721
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateAugust 25, 2014
✔ NPI 1508266826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NC · 2006-01488
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
301 S CAMPBELL ST, Burgaw, NC 28425
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Other Names 1

Doing Business AsBlack River Family Practice

Other Providers at the Same Location NPPES 8

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

BLACK RIVER HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-5721
BLACK RIVER HEALTH SERVICES, INC.
Pharmacy
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-5721
SARA JEAN SUTTON-MEYER
Nurse Practitioner (Family)
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-5721
GARLAND BRUCE WILLIAMS JR. FNPC
Nurse Practitioner
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-6973
LINDA I GREENSPAN D.O.
Family Medicine
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-5721
BLACK RIVER HEALTH SERVICES, INC.
Pharmacy
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 218-3527
MRS. CHANTELLE NICOLLE GUTHRIE FNP
Nurse Practitioner (Family)
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-5721
REBECCA W DENSON ARNP
Nurse Practitioner (Family)
301 S CAMPBELL ST
BURGAW, NC 28425
Pender County (910) 259-6973

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 1508266826. It was assigned to this organization in the NPPES registry on August 25, 2014. The provider is doing business as Black River Family Practice.

Where is Black River Health Services Inc located?

Black River Health Services Inc is located at 301 S Campbell St, Burgaw, NC 28425. The listed phone number is (910) 259-5721.

What is Black River Health Services Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Black River Health Services Inc was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.