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. |
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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 |
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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 |
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Provider Enumeration Date | 09/01/2009 |
Last Update Date | 12/09/2014 |
Medicare PECOS PAC ID | 2961309315 |
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Medicare Enrollment ID | O20091110000091 |
Identifier | Type | State | Issuer |
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1619100096 | NPI | - | NPPES |
FQC081 | Medicaid | SC |
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