Black River Health Services Inc in Atkinson - Federally Qualified Health Center (fqhc)
Black River Health Services Inc - NPI 1174511976
Black River Health Services Inc is a Federally Qualified Health Center (fqhc) in Atkinson, North Carolina. Black River Health Services Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Black River Health Services Inc is 1174511976. The last update date is 2019-12-12.
Black River Health Services Inc's current location address is 109 W Church St, Atkinson, North Carolina. You can contact this provider via phone number 9102837783 and fax number 9102837927. The mailing address for Black River Health Services Inc is 109 W Church St, Atkinson, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black River Health Services Inc |
|---|---|
| Address | 109 W Church St, Atkinson, North Carolina |
| Phone Number | 9102837783 |
| Fax Number | 9102837927 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Amann Lee Ann |
| Telephone Number | 9102596973 |
NPI Number Detail
| NPI Number | 1174511976 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2019-12-12 |
Provider Mailing Address Detail
| Address | 109 W Church St |
|---|---|
| City | Atkinson |
| State | North Carolina (NC) |
| Post Code | 284219230 |
| Phone Number | 9102837783 |
| Fax Number | 9102837927 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 343867AC | NC | -- | |
| 3009 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Black River Health Services Inc by the Centers for Medicare & Medicaid Services?
The Black River Health Services Inc has been assigned the NPI (National Provider Identifier) 1174511976 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Black River Health Services Inc's physical address?
The Black River Health Services Inc is physically located at 109 W Church St, in the city of Atkinson, NC, with the postal code 284219230.
What is Black River Health Services Inc's area of expertise and its corresponding taxonomy classification?
The Black River Health Services Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174511976 to Black River Health Services Inc?
The Centers for Medicare & Medicaid Services originally issued the 1174511976 to Black River Health Services Inc on 2005-10-06.
When was the Black River Health Services Inc's information last updated?
The Black River Health Services Inc's information was last updated on 2019-12-12.