FQHC look-alike · NC
BLACK RIVER HEALTH SERVICES INC
- 0Registered locations
- 1Associated locations
- 4Contract pharmacies
- 1With no end date
- 1 October 2018In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “BLACK RIVER HEALTH SERVICES INC” (340B ID FQHCLA364B), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHCLA364B
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 October 2018
- Certification date
- 5 February 2026
- Record last edited
- 5 February 2026
Identifiers
- 340B ID
- FQHCLA364B
- Entity type as filed
- FQHCLA
- Site ID
- BPS-LAL-021689
- Grant number
- LALCS31614
4811 NC Highway 50, Maple Hill NC 28454
Associated locations
| Organization | Address | Where |
|---|---|---|
| BLACK RIVER HEALTH SERVICES INC | 4811 NC Highway 50 | Maple Hill NC 28454 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| WARSAW RX, LLC | BURGAW, NC | 1 October 2018 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 October 2018 | 14 February 2020 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 October 2018 | 14 February 2020 |
| WALMART PHARMACY 10-7243 | BURGAW, NC | 1 October 2018 | 14 February 2020 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.