Black River Medical Supplies and Equipment, LLC
NPI 1912654989 · Durable Medical Equipment & Medical Supplies · Kingstree, SC
Black River Medical Supplies and Equipment, LLC is a Durable Medical Equipment & Medical Supplies organization in Kingstree, SC (NPI 1912654989).
Provider details
- NPI number
- 1912654989
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Vickie Mitchell, Co-Owner(843) 355-5545
Specialties & taxonomies
Suppliers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2023-01-03
- Certified
- 2023-01-03
Frequently asked questions
- What is Black River Medical Supplies and Equipment, LLC's NPI number?
- Black River Medical Supplies and Equipment, LLC's National Provider Identifier (NPI) is 1912654989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Medical Supplies and Equipment, LLC?
- Black River Medical Supplies and Equipment, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Black River Medical Supplies and Equipment, LLC located?
- Black River Medical Supplies and Equipment, LLC's practice location on file with NPPES is 482 Nelson Blvd, Kingstree, SC 29556-4025.
- What is Black River Medical Supplies and Equipment, LLC's phone number?
- The practice phone number listed in the NPPES registry for Black River Medical Supplies and Equipment, LLC is (843) 355-5545.
- Who is the authorized official for Black River Medical Supplies and Equipment, LLC?
- The authorized official listed on Black River Medical Supplies and Equipment, LLC's NPPES record is Vickie Mitchell, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Medical Supplies and Equipment, LLC's NPI active?
- Yes — Black River Medical Supplies and Equipment, LLC's NPI (1912654989) is active in the NPPES registry as of the last update on 2023-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.