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Black River Health Services Inc

Federally Qualified Health Center (FQHC) in Atkinson, NC · enumerated 2005 · authorized official Lee Ann Amann, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174511976

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Registry record

Entity type Organization (Type 2)
Legal business name Black River Health Services Inc
Other name <Unavail>
Practice address 109 W Church St, Atkinson, NC, 28421
Phone (910) 283-7783
Fax (910) 283-7927
Enumeration date Oct 6, 2005
Last updated in NPPES Dec 12, 2019

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Lee Ann Amann
Title Administrator
Phone (910) 259-6973

Other identifiers

Identifier Type State Issuer
343867AC Medicaid NC -
03009 Other - BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Black River Health Services Inc?
Black River Health Services Inc is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-12.