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Black River Health Services Inc
Rural Health Clinic/Center in Maple Hill, North Carolina
NPI 1356339154

Black River Health Services Inc is a Rural Health Clinic/Center based in Burgaw, NC and is specialized in Rural Health. Black River Health Services Inc practices in Maple Hill, NC. The NPI Number for Black River Health Services Inc is 1356339154 and holds a License No. (North Carolina).

The current practice location address for Black River Health Services Inc is 4811 Nc Highway 50, Maple Hill, NC and can be reached out via phone at 910-259-6444 and via fax at 910-259-6659.

Location: 4811 Nc Highway 50, Maple Hill, NC, 28425-5011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356339154
Provider Name
Black River Health Services Inc
Credential
Provider Entity Type
Organization
Address
4811 Nc Highway 50, Maple Hill, NC, 28425-5011
Phone Number
910-259-6444
Fax Number
910-259-6659
Provider Enumeration Date
10/06/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
344622AC 05 NC
0176J 01 BCBS
institution
Provider Business Practice Location Address Details
Address
4811 Nc Highway 50
City
Maple Hill
State
North Carolina
Zip
28454-8153
Phone Number
910-259-6444
Fax Number
910-259-6659
person
Provider Business Mailing Address Details
Address
4811 Nc Highway 50
City
Maple Hill
State
North Carolina
Zip
28454-8153
Phone Number
910-259-6444
Fax Number
910-259-6659
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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