Little River Medical Center Inc
LBN: Little River Medical Center Inc
Little River Medical Center Inc is an health care organization with primary practice located at 4303 Live Oak Dr , Little River SC 29566-9138. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Dental Providers / Dentist is the primary health care specialty.
Little River Medical Center Inc can be contacted via phone (843) 663-8000, or through Criswell, Avangela Kay via phone (843) 663-8017.
Contact Information
Primary practice address
4303 Live Oak Dr
Little River SC 29566-9138
Phone: (843) 663-8000
Fax: (843) 663-8154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4406 | South Carolina |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1053471623 |
|---|---|
| LBN Legal business name | Little River Medical Center Inc |
| DBA Doing business as | |
| Authorized official | Criswell, Avangela Kay |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Nov 2nd, 2012 - about 12 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 | 1053471623 | NPPES |
| South Carolina | MEDICAID | ZA9656 |
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