| Inclusive Healthcare Center | |
|
4882 Socastee Blvd Myrtle Beach SC 29588-7245 | |
| (843) 668-2744 | |
| (843) 668-2742 |
| Full Name | Inclusive Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4882 Socastee Blvd, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Beverly Miller (CEO/DNP) |
| Authorized Official Contact | 8436682744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Healthcare Center 4882 Socastee Blvd Myrtle Beach SC 29588-7245 Ph: (843) 668-2744 | Inclusive Healthcare Center 4882 Socastee Blvd Myrtle Beach SC 29588-7245 Ph: (843) 668-2744 |
| NPI Number | 1144811068 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Medicare PECOS PAC ID | 4789082488 |
|---|---|
| Medicare Enrollment ID | O20211011002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144811068 | NPI | - | NPPES |
| 1275941213 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Beverly E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275941213 PECOS PAC ID: 4284956285 Enrollment ID: I20141202001426 |
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