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.
3236 HOLMESTOWN RD
MYRTLE BEACH, SC29588-7495
Phone: 843-663-8000
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical 1041C0700X
Family Medicine 207Q00000X
Pediatrics 208000000X

* Indicates primary specialty

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

NPI Number 1508120619
Legal business name
LBN
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official PAMELA DAVIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/03/2012
Last updated 01/16/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: FQC117

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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