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BRH - GREELEYVILLE
NPI 1558308965
Family Medicine in Greeleyville, SC

Active since June 02, 2006
86 N MAIN ST, GREELEYVILLE, SC 29056(843) 426-2180(843) 426-2182 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brh - Greeleyville NPPES

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

BRH - GREELEYVILLE (NPI 1558308965) is a healthcare organization registered as a family medicine in Greeleyville, South Carolina and active in the NPI registry since June 2006. The organization lists Leslie Freeman, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1558308965
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK RIVER HEALTHCARE, INC.
Location Address86 N MAIN STGreeleyville, SC 29056-9374
Mailing AddressPo Box 578Manning, SC 29102-0578 · (803) 433-1216 · Fax (803) 433-6796
Phone(843) 426-2180
Fax(843) 426-2182
Organization SubpartYes
Authorized OfficialLeslie FreemanCredentialing Coordinator · (803) 433-1216
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 8, 2008
✔ NPI 1558308965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 985 (SC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
86 N MAIN ST, Greeleyville, SC 29056
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Other Names 1

Other NameBrh - Greeleyville

Other Identifiers 3

Medicare OSCAR/certification421834SC
Other4399SC · Medicare Part B
Medicare ID-Type Unspecified4399SC · Greeleyville Medicare Num

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 1558308965. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is also known as Brh - Greeleyville.

Where is Black River Healthcare, Inc. located?

Black River Healthcare, Inc. is located at 86 N Main St, Greeleyville, SC 29056. The listed phone number is (843) 426-2180.

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.