Organization
BLACK RIVER HEALTHCARE, INC.
Active
Parent organization
BLACK RIVER HEALTHCARE, INC.
Other names
BRH - Manning
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACK RIVER HEALTHCARE, INC.
Authorized official
MS. BARBARA F. BROOKS (CHIEF EXECUTIVE OFFICER)
(803) 433-1216
Entity
Organization
Contact information
Practice address
12 W SOUTH ST, MANNING, SC 29102-2925
(803) 433-1216
(803) 433-6796
Mailing address
12 W SOUTH ST, PO BOX 578, MANNING, SC 29102-2925
(803) 433-1216
(803) 433-6796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
16299
SC
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4398
MEDICARE PART B
—
Enumeration date
06/03/2006
Last updated
11/18/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us