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

Black River Healthcare, Inc

Organization Family Medicine Physician · NPI 1497798599

Black River Healthcare, Inc is a Family Medicine Physician in Kingstree, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
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

520 Thurgood Marshall Blvd Ste B
Kingstree, SC 29556
Phone: (843) 355-5628
Fax: (843) 355-6072
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X
Nurse Practitioner Taxonomy 363L00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1497798599
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Healthcare, Inc
Authorized official Barbara Brooks — Chief Executive Officer · (803) 433-1216
Other names Brh - Kingstree
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 8, 2008
Mailing address12 W South St, Manning, SC 29102-2925

Other providers in Kingstree