Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black River Healthcare, Inc

Organization Family Medicine Physician · NPI 1558308965

Black River Healthcare, Inc provides Family Medicine Physician services in Greeleyville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
3
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

86 N Main St
Greeleyville, SC 29056-9374 Not confirmed with CMS for 18 years — call before visiting
Phone: (843) 426-2180
Fax: (843) 426-2182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence 985 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1558308965
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Healthcare, Inc
Authorized official Leslie Freeman — Credentialing Coordinator · (803) 433-1216
Other names Brh - Greeleyville
NPI enumeratedJune 2, 2006
Last updated in NPPESApril 8, 2008
Mailing addressPo Box 578, Manning, SC 29102-0578