| Little River Medical Center, Inc. | |
|
1075 Mr. Joe White Ave Unit 101 Myrtle Beach SC 29577-5658 | |
| (843) 839-2049 | |
| (843) 839-1857 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1075 Mr. Joe White Ave, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Avangela Kay Criswell (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 8436631013 |
| 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) 663-1013 | Little River Medical Center, Inc. 1075 Mr. Joe White Ave Unit 101 Myrtle Beach SC 29577-5658 Ph: (843) 839-2049 |
| NPI Number | 1669535225 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Medicare PECOS PAC ID | 2961309315 |
|---|---|
| Medicare Enrollment ID | O20040127000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669535225 | NPI | - | NPPES |
| FQC066 | Medicaid | SC |
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