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

Black River Healthcare, Inc

Organization Registered Nurse · NPI 1275566440

Black River Healthcare, Inc is a Registered Nurse in Timmonsville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
5
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

206 E Market St
Timmonsville, SC 29161
Phone: (803) 433-1216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27146 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 79153 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 16299 (SC)
General Practice Physician Taxonomy 208D00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1275566440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Healthcare, Inc
Authorized official Barbara Brooks — Chief Executive Officer · (803) 433-1216
NPI enumeratedJuly 9, 2006
Last updated in NPPESJanuary 6, 2009
Mailing addressPo Box 578, Manning, SC 29102-0578

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