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 9711 Saint James Rd , Myrtle Beach SC 29588-7431. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Little River Medical Center, Inc. can be contacted via phone (843) 650-8220, or through Criswell, Avangela K via phone 84736631013.

Contact Information

Primary practice address
9711 Saint James Rd Myrtle Beach SC 29588-7431
Phone: (843) 650-8220
Fax: (843) 650-7909
Website:
Map and Directions
Authorized official contact:
Name: Criswell, Avangela K
Phone: 84736631013

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4406 South Carolina

Profile Details

NPI number 1396069613
LBN Legal business name Little River Medical Center, Inc.
DBA Doing business as
Authorized official Criswell, Avangela K
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 15th, 2010
Last updated Mar 16th, 2010 - about 14 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 1396069613 NPPES
South Carolina MEDICAID ZA9656

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