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

Black River Health Services Inc

Organization Non-Pharmacy Dispensing Site · NPI 1508266826

Black River Health Services Inc is a Non-Pharmacy Dispensing Site in Burgaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

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

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

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 2006-01488 (NC)

Record details

NPI number1508266826
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Black River Family Practice
NPI enumeratedAugust 25, 2014
Last updated in NPPESAugust 25, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705