Advantage Health Center, Llc

LBN: Advantage Health Center, Llc
Advantage Health Center, Llc is an health care organization with primary practice located at 4301 Highway 544 , Myrtle Beach SC 29588-6807. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Advantage Health Center, Llc can be contacted via phone (843) 215-5000, or through Tice, Donald W via phone (843) 215-5000.

Contact Information

Primary practice address
4301 Highway 544 Myrtle Beach SC 29588-6807
Phone: (843) 215-5000
Fax: (843) 215-5005
Website:
Map and Directions
Authorized official contact:
Name: Tice, Donald W Doctor of Osteopathy (DO)
Phone: (843) 215-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0364 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0584 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0708 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO1072 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0847 South Carolina

Profile Details

NPI number 1598742041
LBN Legal business name Advantage Health Center, Llc
DBA Doing business as
Authorized official Tice, Donald W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598742041 NPPES
South Carolina Other P00057006 R/R MEDICARE PROVIDER ID
South Carolina Other CI2223 R/R MEDICARE PROVIDER ID
South Carolina MEDICAID GP1373 R/R MEDICARE PROVIDER ID
South Carolina Other P74639 R/R MEDICARE PROVIDER ID
South Carolina Other P00134805 R/R MEDICARE PROVIDER ID

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