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BRH - OLANTA
NPI 1508809542
Family Medicine in Olanta, SC

Active since June 14, 2006
139 MAIN STREET, OLANTA, SC 29114(803) 433-1216(803) 433-6796 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brh - Olanta NPPES

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

BRH - OLANTA (NPI 1508809542) is a healthcare organization registered as a family medicine in Olanta, South Carolina and active in the NPI registry since June 2006. The organization lists Barbara Brooks, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508809542
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK RIVER HEALTHCARE, INC.
Location Address139 MAIN STREETOlanta, SC 29114
Mailing AddressPo Box 578Manning, SC 29102-0578 · (803) 433-1216 · Fax (803) 433-6796
Phone(803) 433-1216
Fax(803) 433-6796
Organization SubpartYes
Authorized OfficialBarbara BrooksChief Executive Officer · (803) 433-1216
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 8, 2008
✔ NPI 1508809542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 27146 (SC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
139 MAIN STREET, Olanta, SC 29114
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Other Names 1

Other NameBrh - Olanta

Other Identifiers 3

Medicare OSCAR/certification421836SC
Medicare ID-Type Unspecified4400SC · Olanta Medicare Number
Other4400SC · Medicare Part B

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 1508809542. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is also known as Brh - Olanta.

Where is Black River Healthcare, Inc. located?

Black River Healthcare, Inc. is located at 139 Main Street, Olanta, SC 29114. 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 April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.