Black River Health Services INC
NPI #1093703886 in Burgaw, North Carolina
Provider Information
- NPI Number
- 1093703886
- Entity Type
- Organization
- Organization Name
- Black River Health Services INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 6, 2005
- Last Updated
- Dec 12, 2019
Practice Location
- Address
- 301 S CAMPBELL ST
- City
- Burgaw
- State
- North Carolina
- ZIP Code
- 28425-5011
- Phone
- (910) 259-5721
Authorized Official
- Name
- LEE ANN AMANN
- Title
- ADMINISTRATOR
- Phone
- (910) 259-6973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Clinic/Center - Rural Health — Rural Health |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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