BLACK RIVER HEALTHCARE, INC. – NPI #1508809542
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.
BLACK RIVER HEALTHCARE, INC. is a provider located in OLANTA, SC. NPPES has assigned the NPI number 1508809542 to BLACK RIVER HEALTHCARE, INC. on June 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BLACK RIVER HEALTHCARE, INC. is also known by the name BRH - OLANTA. 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.
The NPI profile was previously updated about 18 years ago on Apr 08, 2008. 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.
(about 20 years ago)
OLANTA, SC 29114 Phone: (803) 433-1216 Fax: (803) 433-6796
MANNING, SC 29102-0578 Phone: (803) 433-1216 Fax: (803) 433-6796
CHIEF EXECUTIVE OFFICER
Phone: (803) 433-1216
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE PART B | SC | 4400 |
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) |
||
| 363LF0000X - Nurse Practitioner / Family |
||
| 261QR1300X - Clinic/Center / Rural Health |
SC | 27146 |
| 207R00000X - Internal Medicine |
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.