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 620 29Th Ave N , Myrtle Beach SC 29577-3169. 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) 448-1774, or through Criswell, Avangela K via phone (843) 663-1013.

Contact Information

Primary practice address
620 29Th Ave N Myrtle Beach SC 29577-3169
Phone: (843) 448-1774
Fax: (843) 448-1115
Website:
Map and Directions
Authorized official contact:
Name: Criswell, Avangela K
Phone: (843) 663-1013

Health care specialties

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

Profile Details

NPI number 1679897094
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 1679897094 NPPES
South Carolina MEDICAID ZA9656

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