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Contact Information

LITTLE RIVER MEDICAL CENTER, INC.
700 AUGUSTA PLANTATION DRIVE
MYRTLE BEACH, SC29579-6713
 Phone: 843-903-6300
 Fax: 843-903-6301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI # 1932457751
LBN Legal business name LITTLE RIVER MEDICAL CENTER, INC.
Authorized official PAMELA DAVIS - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/28/2012
Last updated 08/28/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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