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.
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC29579-4220
Phone: 843-663-8000
Fax: 843-663-8166
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Multi-Specialty 261QM1300X

* Indicates primary specialty

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

NPI Number 1386451094
Legal business name
LBN
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official TAMMY PORTER - (PROVIDER ENROLLMENT COORDINATOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/16/2024
Last updated 12/16/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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