| Little River Medical Center, Inc. | |
|
7726 N Kings Hwy Myrtle Beach SC 29572-3041 | |
| (843) 663-1013 | |
| (843) 663-1017 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7726 N Kings Hwy, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Pamela R Davis (CEO) |
| Authorized Official Contact | 8436631013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical Center, Inc. Po Box 547 Little River SC 29566-0547 Ph: (843) 663-1013 | Little River Medical Center, Inc. 7726 N Kings Hwy Myrtle Beach SC 29572-3041 Ph: (843) 663-1013 |
| NPI Number | 1437455144 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437455144 | NPI | - | NPPES |
| FQC065 | Medicaid | SC |
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