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.
1075 MR. JOE WHITE AVE
UNIT 101
MYRTLE BEACH, SC29577-5658
Phone: 843-839-2049
Fax: 843-839-1857
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical 1041C0700X
Family 363LF0000X
Family Medicine 207Q00000X
Professional 101YP2500X

* Indicates primary specialty

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

NPI Number 1669535225
Legal business name
LBN
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official AVANGELA CRISWELL - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/18/2006
Last updated 08/02/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: FQC066

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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