NPIMap

Black River Health Services Inc

A Medicare group practice based in Atkinson, NC: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0345131579), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345131579The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NC
Enrollments
5
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040324001267 NC Part B Supplier - Clinic/Group Practice 1174511976
O20180504001078 NC Part A Provider - Federally Qualified Health Center (FQHC) 1093703886
O20180502001033 NC Part A Provider - Federally Qualified Health Center (FQHC) 1174511976
O20180420000833 NC Part A Provider - Federally Qualified Health Center (FQHC) 1356339154
O20151001001556 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1851388219

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (8).

Sources for this page