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 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Nursing Service Providers / Diabetes Educator, Pharmacy Service Providers / Pharmacist, 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) 663-8000, or through Davis, Pamela R via phone (843) 663-8001.

Contact Information

Primary practice address
4303 Live Oak Dr Little River SC 29566-9138
Phone: (843) 663-8000
Fax: (843) 280-2455
Website:
Map and Directions
Authorized official contact:
Name: Davis, Pamela R
Phone: (843) 663-8001

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X South Carolina
Dental Providers / Dentist 122300000X South Carolina
Nursing Service Providers / Diabetes Educator 163WD0400X South Carolina
Pharmacy Service Providers / Pharmacist 183500000X 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 1629021076
LBN Legal business name Little River Medical Center Inc
DBA Doing business as
Authorized official Davis, Pamela R
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated May 21st, 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 1629021076 NPPES
South Carolina MEDICAID FQC024
South Carolina MEDICAID ZA9656

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