NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

LITTLE RIVER MEDICAL CENTER, INC.

Federally Qualified Health Center (FQHC)


Contact Information

LITTLE RIVER MEDICAL CENTER, INC.
3236 HOLMESTOWN RD
MYRTLE BEACH, SC29588-7495
 Phone: 843-663-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LITTLE RIVER MEDICAL CENTER, INC.

NPI Number 1508120619
LBN Legal business name LITTLE RIVER MEDICAL CENTER, INC.
Authorized official PAMELA DAVIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2012
Last updated 12/23/2014 - About 1 months ago
Identifiers
SC Medicaid FQC117
Hospital affiliation(s)
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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