Organization · Type 2 NPI
Little River Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Myrtle Beach, SC
NPI number
1669535225
Active
Practice location
1075 Mr. Joe White Ave, Unit 101
Myrtle Beach, SC 29577-5658
Fax (843) 839-1857
Mailing address
PO Box 547
Little River, SC 29566-0547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1669535225
Little River Medical Center, Inc.'s National Provider Identifier is 1669535225, issued on Dec 18, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Myrtle Beach, SC. The record was last updated on Aug 2, 2024.