Organization · Type 2 NPI
Black River Health Services Inc
Federally Qualified Health Center (FQHC) · Maple Hill, NC
NPI number
1356339154
Active
Practice location
4811 Nc Highway 50
Maple Hill, NC 28454-8153
Fax (910) 259-6659
Mailing address
301 S Campbell St
Burgaw, NC 28425-5011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Rural Health Clinic/Center | 261QR1300X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
About NPI 1356339154
Black River Health Services Inc's National Provider Identifier is 1356339154, issued on Oct 6, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Maple Hill, NC. The record was last updated on Jan 21, 2020.