Black River Healthcare, Inc.
NPI 1558308965 · Family Medicine Physician · Greeleyville, SC
Black River Healthcare, Inc. is a Family Medicine Physician organization in Greeleyville, SC (NPI 1558308965).
Provider details
- NPI number
- 1558308965
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Black River Healthcare, Inc.
- Organization subpart
- Yes
- Authorized official
- Leslie Freeman, Credentialing Coordinator(803) 433-1216
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
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)
- Other name
- Brh - Greeleyville
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2008-04-08
Frequently asked questions
- What is Black River Healthcare, Inc.'s NPI number?
- Black River Healthcare, Inc.'s National Provider Identifier (NPI) is 1558308965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Healthcare, Inc.?
- Black River Healthcare, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Black River Healthcare, Inc. located?
- Black River Healthcare, Inc.'s practice location on file with NPPES is 86 N Main St, Greeleyville, SC 29056-9374.
- What is Black River Healthcare, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Black River Healthcare, Inc. is (843) 426-2180.
- Who is the authorized official for Black River Healthcare, Inc.?
- The authorized official listed on Black River Healthcare, Inc.'s NPPES record is Leslie Freeman, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Healthcare, Inc.'s NPI active?
- Yes — Black River Healthcare, Inc.'s NPI (1558308965) is active in the NPPES registry as of the last update on 2008-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.