| Black River Healthcare, Inc. | |
|
86 N Main St Greeleyville SC 29056-9374 | |
| (843) 426-2180 | |
| (843) 426-2182 |
| Full Name | Black River Healthcare, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 86 N Main St, Greeleyville, South Carolina |
| Authorized Official Name and Position | Leslie Freeman (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8034331216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black River Healthcare, Inc. Po Box 578 Manning SC 29102-0578 Ph: (803) 433-1216 | Black River Healthcare, Inc. 86 N Main St Greeleyville SC 29056-9374 Ph: (843) 426-2180 |
| NPI Number | 1558308965 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558308965 | NPI | - | NPPES |
| 4399 | Other | SC | MEDICARE PART B |
Hopehealth, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 86 North Main Street, Greeleyville, SC 29056 Phone: 843-426-2335 Fax: 843-426-2346 |