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Contact Information

LITTLE RIVER MEDICAL CENTER, INC.
1005 OSCEOLA ST
MYRTLE BEACH, SC29577-8008
 Phone: 843-663-8000
 Fax: 843-663-1017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI # 1144472119
LBN Legal business name LITTLE RIVER MEDICAL CENTER, INC.
Authorized official AVANGELA CRISWELL - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/21/2008
Last updated 05/31/2012 - About 14 years ago
Identifiers n/a
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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