Organization · Type 2 NPI

Little River Medical Center Inc

Federally Qualified Health Center (FQHC) · Little River, SC

NPI number 1629021076 Active

Practice location

4303 Live Oak Dr
Little River, SC 29566-9138

Fax (843) 280-2455

Mailing address

PO Box 547
Little River, SC 29566-0547

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Dentist 122300000XNone listed
Diabetes Educator Registered Nurse 163WD0400XNone listed
Pharmacist 183500000XNone listed
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

51 other providers at this address

About NPI 1629021076

Little River Medical Center Inc's National Provider Identifier is 1629021076, issued on May 18, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Little River, SC. The record was last updated on May 21, 2014.