Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black River Health Services Inc

Organization Family Medicine Physician · NPI 1093703886

Black River Health Services Inc is a Family Medicine Physician in Burgaw, North Carolina. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 S Campbell St
Burgaw, NC 28425-5011
Phone: (910) 259-5721
Fax: (910) 259-8002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1093703886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Ann Amann — Administrator · (910) 259-6973
Other names Black River Family Practice; Black River Family Practice
NPI enumeratedOctober 6, 2005
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address301 S Campbell St, Burgaw, NC 28425-5011

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