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 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) 663-8017, or through Criswell, Avangela K via phone (843) 663-8017.

Contact Information

Primary practice address
4303 Live Oak Dr Little River SC 29566-9138
Phone: (843) 663-8017
Fax: (843) 663-1017
Website:
Map and Directions
Authorized official contact:
Name: Criswell, Avangela K
Phone: (843) 663-8017

Health care specialties

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

Profile Details

NPI number 1487978706
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 Jul 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487978706 NPPES
South Carolina MEDICAID ZA9656

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