OrganizationActive
Black River Health Services Inc
NPI 1508266826 · Non-Pharmacy Dispensing Site · Burgaw, NC
Black River Health Services Inc is a Non-Pharmacy Dispensing Site organization in Burgaw, NC (NPI 1508266826).
Provider details
- NPI number
- 1508266826
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 2006-01488 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
301 S Campbell St
Burgaw, NC 28425-5011
Phone: (910) 259-5721
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Black River Family Practice
Registry dates
- Enumerated
- 2014-08-25
- Last updated
- 2014-08-25
Frequently asked questions
- What is Black River Health Services Inc's NPI number?
- Black River Health Services Inc's National Provider Identifier (NPI) is 1508266826, 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 Non-Pharmacy Dispensing Site (Suppliers).
- 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.
- 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 Kenny Heine, Vp of Operations. 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 (1508266826) is active in the NPPES registry as of the last update on 2014-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.