| Little River Medical Center, Inc | |
|
4220 Carolina Exchange Blvd Myrtle Beach SC 29579 | |
| (843) 663-8000 | |
| (843) 663-8117 |
| Full Name | Little River Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4220 Carolina Exchange Blvd, Myrtle Beach, 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 4220 Carolina Exchange Blvd Myrtle Beach SC 29579 Ph: (843) 663-8000 |
| NPI Number | 1346638483 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Medicare PECOS PAC ID | 2961309315 |
|---|---|
| Medicare Enrollment ID | O20150416002184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346638483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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