| Little River Medical Center, Inc. | |
|
3817 Main St Loris SC 29569-3017 | |
| (843) 663-8000 | |
| (843) 756-6828 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3817 Main St, Loris, South Carolina |
| Authorized Official Name and Position | Pamela R Davis (CEO) |
| Authorized Official Contact | 8436638001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical Center, Inc. Po Box 547 Little River SC 29566-0547 Ph: (843) 663-8000 | Little River Medical Center, Inc. 3817 Main St Loris SC 29569-3017 Ph: (843) 663-8000 |
| NPI Number | 1619100096 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 12/09/2014 |
| Medicare PECOS PAC ID | 2961309315 |
|---|---|
| Medicare Enrollment ID | O20091110000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619100096 | NPI | - | NPPES |
| FQC081 | Medicaid | SC |
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