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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Black River Healthcare, Inc.

Family Medicine Physician in Timmonsville, SC · enumerated 2006 · authorized official Barbara Brooks, Chief Executive Officer.

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

National Provider Identifier

1275566440

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Registry record

Entity type Organization (Type 2)
Legal business name Black River Healthcare, Inc.
Parent organization Black River Healthcare, Inc.
Practice address 206 East Market Street, Timmonsville, SC, 29161
Enumeration date Jul 9, 2006
Last updated in NPPES Jan 6, 2009

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers · License 79153 (SC) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 27146 (SC) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 16299 (SC) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Barbara Brooks
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
5009 Other SC MEDICARE PART B

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

Where is Black River Healthcare, Inc. located?
The practice location on file with NPPES is in Timmonsville, SC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-01-06. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-06.