BLACK RIVER HEALTHCARE, INC. – NPI #1275566440
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

BLACK RIVER HEALTHCARE, INC. is a provider located in TIMMONSVILLE, SC. NPPES has assigned the NPI number 1275566440 to BLACK RIVER HEALTHCARE, INC. on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 17 years ago on Jan 06, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACK RIVER HEALTHCARE, INC. below.

NPI Profile for
BLACK RIVER HEALTHCARE, INC.

NPI Number
1275566440
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACK RIVER HEALTHCARE, INC.
Primary location
206 EAST MARKET STREET
TIMMONSVILLE, SC 29161
Phone: (803) 433-1216 Fax:
Mailing address
PO BOX 578
MANNING, SC 29102-0578
Phone: (803) 433-1216 Fax: (803) 433-6796
Organization Subpart
Yes - BLACK RIVER HEALTHCARE, INC. is subpart of another organization.
Authorized Official
BARBARA BROOKS
CHIEF EXECUTIVE OFFICER
Phone: (803) 433-1216
Updated
Identifiers

Identifiers for BLACK RIVER HEALTHCARE, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PART BSC5009
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SC 27146
261QR1300X
- Clinic/Center / Rural Health
208D00000X
- General Practice
208000000X
- Pediatrics		 SC 16299
163W00000X
- Registered Nurse		 SC 79153

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.