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 1558308965

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

Licensed in
SC
In the registry since
2006
Specialties on file
3
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

86 N Main St
Greeleyville, SC 29056-9374
Phone: (843) 426-2180
Fax: (843) 426-2182
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence 985 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1558308965
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Healthcare, Inc
Authorized official Leslie Freeman — Credentialing Coordinator · (803) 433-1216
Other names Brh - Greeleyville
NPI enumeratedJune 2, 2006
Last updated in NPPESApril 8, 2008
Mailing addressPo Box 578, Manning, SC 29102-0578