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Black River Healthcare, Inc.
Family Nurse Practitioner in Olanta, South Carolina
NPI 1508809542

Black River Healthcare, Inc. is a Family Nurse Practitioner based in Manning, SC and is specialized in Family. Black River Healthcare, Inc. practices in Olanta, SC. The NPI Number for Black River Healthcare, Inc. is 1508809542 and holds a License No. (South Carolina).

The current practice location address for Black River Healthcare, Inc. is 139 Main Street, Olanta, SC and can be reached out via phone at 803-433-1216 and via fax at 803-433-6796.

Location: 139 Main Street, Olanta, SC, 29102-0578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508809542
Provider Name
Black River Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
139 Main Street, Olanta, SC, 29102-0578
Phone Number
803-433-1216
Fax Number
803-433-6796
Provider Enumeration Date
06/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4400 01 SC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
139 Main Street
City
Olanta
State
South Carolina
Zip
29114
Phone Number
803-433-1216
Fax Number
803-433-6796
person
Provider Business Mailing Address Details
Address
139 Main Street
City
Olanta
State
South Carolina
Zip
29114
Phone Number
803-433-1216
Fax Number
803-433-6796
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
27146 (South Carolina)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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