Black River Health Services Inc
NPI 1093703886 · Federally Qualified Health Center (FQHC) · Burgaw, NC
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black River Health Services Inc is a Federally Qualified Health Center (FQHC) organization in Burgaw, NC (NPI 1093703886).
Provider details
- NPI number
- 1093703886
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Ann Amann, Administrator(910) 259-6973
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Black River Family Practice
- Doing business as
- Black River Family Practice
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Frequently asked questions
- What is Black River Health Services Inc's NPI number?
- Black River Health Services Inc's National Provider Identifier (NPI) is 1093703886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Health Services Inc?
- Black River Health Services Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Black River Health Services Inc located?
- Black River Health Services Inc's practice location on file with NPPES is 301 S Campbell St, Burgaw, NC 28425-5011.
- What is Black River Health Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Black River Health Services Inc is (910) 259-5721.
- Does Black River Health Services Inc accept Medicare?
- Black River Health Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black River Health Services Inc?
- The authorized official listed on Black River Health Services Inc's NPPES record is Lee Ann Amann, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Health Services Inc's NPI active?
- Yes — Black River Health Services Inc's NPI (1093703886) is active in the NPPES registry as of the last update on 2019-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.