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 7724 N Kings Hwy , Myrtle Beach SC 29572-3041. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Little River Medical Center, Inc. can be contacted via phone (843) 839-3939, or through Criswell, Avangela Kay via phone (843) 663-1013.

Contact Information

Primary practice address
7724 N Kings Hwy Myrtle Beach SC 29572-3041
Phone: (843) 839-3939
Fax: (843) 839-3946
Website:
Map and Directions
Authorized official contact:
Name: Criswell, Avangela Kay
Phone: (843) 663-1013

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X South Carolina
Dental Providers / Dentist 122300000X South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X South Carolina

Profile Details

NPI number 1184783284
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 6th, 2006
Last updated Dec 9th, 2014 - about 10 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 1184783284 NPPES
South Carolina MEDICAID FQC065
South Carolina MEDICAID ZA9656

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