National Provider Identifier Database

LITTLE RIVER MEDICAL CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

LITTLE RIVER MEDICAL CENTER, INC.
7724 N KINGS HWY
MYRTLE BEACH, SC29572-3041
Phone: 843-839-3939
Fax: 843-839-3946
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical 1041C0700X
Dentist 122300000X
Family 363LF0000X
Family Medicine 207Q00000X

* Indicates primary specialty

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

NPI Number 1184783284
Legal business name
LBN
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official AVANGELA CRISWELL - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/06/2006
Last updated 12/09/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: FQC065
  • SC Medicaid: ZA9656

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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