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

Black River Healthcare, Inc

Organization Family Medicine Physician · NPI 1508809542

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

Licensed in
SC
In the registry since
2006
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

139 Main St
Olanta, SC 29114
Phone: (803) 433-1216
Fax: (803) 433-6796
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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
Internal Medicine Physician Taxonomy 207R00000X
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence 27146 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1508809542
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Healthcare, Inc
Authorized official Barbara Brooks — Chief Executive Officer · (803) 433-1216
Other names Brh - Olanta
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 8, 2008
Mailing addressPo Box 578, Manning, SC 29102-0578

Other providers in Olanta