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 901 11Th Ave N , North Myrtle Beach SC 29582-2509. 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) 663-0195, or through Criswell, Avangela Kay via phone (843) 663-1013.

Contact Information

Primary practice address
901 11Th Ave N North Myrtle Beach SC 29582-2509
Phone: (843) 663-0195
Fax: (843) 249-8638
Website:
Map and Directions
Authorized official contact:
Name: Criswell, Avangela Kay
Phone: (843) 663-1013

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1881877769
LBN Legal business name Little River Medical Center, Inc.
DBA Doing business as
Authorized official Criswell, Avangela Kay
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2007
Last updated May 4th, 2010 - about 15 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 1881877769 NPPES
South Carolina MEDICAID FQC024

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