Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Black River Healthcare, Inc

Organization Registered Nurse · NPI 1275566440

Black River Healthcare, Inc provides Registered Nurse services in Timmonsville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

206 E Market St
Timmonsville, SC 29161 Not confirmed with CMS for 17 years — call before visiting
Phone: (803) 433-1216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27146 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 79153 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 16299 (SC)
General Practice Physician Taxonomy 208D00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1275566440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Healthcare, Inc
Authorized official Barbara Brooks — Chief Executive Officer · (803) 433-1216
NPI enumeratedJuly 9, 2006
Last updated in NPPESJanuary 6, 2009
Mailing addressPo Box 578, Manning, SC 29102-0578

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