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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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