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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK RIVER HEALTH SERVICES INC

Active Organization

BLACK RIVER HEALTH SERVICES INC is a Federally Qualified Health Center organization located in BURGAW, North Carolina. NPI 1093703886 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · BURGAW, NC

Registration Details

NPI Number
1093703886
Provider Type
Organization
NPI Issued
Oct 6, 2005 (20.857811230914 yrs)
Last Updated
Dec 12, 2019

Practice Information

Address
301 S CAMPBELL ST
BURGAW, NC, 284255011
Browse NC providers · Browse ZIP 28425
Phone
9102595721
Fax
9102598002
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Internal Medicine
Additional Specialty
Rural Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.