Black River Health Services Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Maple Hill, North Carolina. The current practice location for Black River Health Services Inc is 4811 Nc Highway 50, Maple Hill, North Carolina. For appointments, you can reach them via phone at
(910) 259-6444. The mailing address for Black River Health Services Inc is 301 S Campbell St, Burgaw, North Carolina and phone number is (910) 259-6973.
Black River Health Services Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1356339154. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(910) 259-6444.
Primary Care Clinic Profile
| Full Name | Black River Health Services Inc |
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| Speciality | Clinic/Center |
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| Location | 4811 Nc Highway 50, Maple Hill, North Carolina |
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| Authorized Official Name and Position | Leeann Amann (ADMINISTRATOR) |
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| Authorized Official Contact | 9102596973 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Black River Health Services Inc
301 S Campbell St
Burgaw
NC 28425-5011
Ph: (910) 259-6973 | Black River Health Services Inc
4811 Nc Highway 50
Maple Hill
NC 28454-8153
Ph: (910) 259-6444 |
NPI Details:
| NPI Number | 1356339154 |
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| Provider Enumeration Date | 10/06/2005 |
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| Last Update Date | 01/21/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0345131579 |
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| Medicare Enrollment ID | O20180420000833 |
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Medical Identifiers
Medical identifiers for Black River Health Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356339154 | NPI | - | NPPES |
| 344622AC | Medicaid | NC | |
| 0176J | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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