Little River Medical Center Inc | |
4303 Live Oak Dr Little River SC 29566-9138 | |
(843) 663-8000 | |
(843) 663-8154 |
Full Name | Little River Medical Center Inc |
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Speciality | Dentist |
Location | 4303 Live Oak Dr, Little River, South Carolina |
Authorized Official Name and Position | Avangela Kay Criswell (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 8436638017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little River Medical Center Inc Po Box 547 Little River SC 29566-0547 Ph: (843) 663-8017 | Little River Medical Center Inc 4303 Live Oak Dr Little River SC 29566-9138 Ph: (843) 663-8000 |
NPI Number | 1053471623 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053471623 | NPI | - | NPPES |
ZA9656 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
122300000X | Dentist | 4406 (South Carolina) | Primary |
Palmetto Care Health And Mental Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1304 Highway 17 Ste A, Little River, SC 29566 Phone: 843-278-0098 | |
Loris Community Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3980 Highway 9 E, Suite 100, Little River, SC 29566 Phone: 843-390-8320 Fax: 843-390-8329 | |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3793 Mcdowell Lane, Suite 100, Little River, SC 29566 Phone: 843-390-0100 Fax: 843-390-0038 | |
Waterway Primary Care,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3600 Sea Mountain Hwy, Little River, SC 29566 Phone: 843-399-4848 | |
Little River Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 | |
Southern Spinal Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Highway 9 E Unit B, Little River, SC 29566 Phone: 919-491-9317 |