| Little River Medical Center, Inc. | |
|
3236 Holmestown Rd Myrtle Beach SC 29588-7495 | |
| (843) 663-8000 | |
| Not Available |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3236 Holmestown Rd, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Pamela 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. 3236 Holmestown Rd Myrtle Beach SC 29588-7495 Ph: (843) 663-8000 |
| NPI Number | 1508120619 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 2961309315 |
|---|---|
| Medicare Enrollment ID | O20120911000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508120619 | NPI | - | NPPES |
| FQC117 | Medicaid | SC |
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