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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1386451094 |
| LBN Legal business name | LITTLE RIVER MEDICAL CENTER, INC. |
| Authorized official | TAMMY PORTER - (PROVIDER ENROLLMENT COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/16/2024 |
| Last updated | 12/16/2024 - More than a year ago |
| Identifiers | n/a |
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LITTLE RIVER MEDICAL CENTER, INC.