OrganizationActive
Black River Healthcare, Inc.
NPI 1699969733 · Community Health Clinic/Center · Kingstree, SC
Provider details
- NPI number
- 1699969733
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Brooks, Chief Executive Officer(803) 433-6790
- License
- 999 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Practice location
500 Thurgood Marshall Boulevard
Suite a
Kingstree, SC 29556
Phone: (843) 355-1425
Fax: (843) 355-1429
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 578
Manning, SC 29102-0578
Other names (DBA / former)
- Other name
- Kingstree Women'S Center
Registry dates
- Enumerated
- 2007-08-31
- Last updated
- 2008-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.