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 3236 Holmestown Rd , Myrtle Beach SC 29588-7495. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). 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) 663-8000, or through Davis, Pamela via phone (843) 663-8001.
Contact Information
Primary practice address
3236 Holmestown Rd
Myrtle Beach SC 29588-7495
Phone: (843) 663-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | South Carolina |
Profile Details
| NPI number | 1508120619 |
|---|---|
| LBN Legal business name | Little River Medical Center, Inc. |
| DBA Doing business as | |
| Authorized official | Davis, Pamela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2012 |
| Last updated | Jan 16th, 2024 - about 8 months 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 | 1508120619 | NPPES |
| South Carolina | MEDICAID | FQC117 |
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