| Little River Medical Center, Inc. | |
|
4220 Carolina Exchange Dr Myrtle Beach SC 29579-4220 | |
| (843) 663-8000 | |
| (843) 663-8166 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4220 Carolina Exchange Dr, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Tammy Porter (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 8436638000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical Center, Inc. Po Box 547 Little River SC 29566-0547 Ph: (843) 663-8294 | Little River Medical Center, Inc. 4220 Carolina Exchange Dr Myrtle Beach SC 29579-4220 Ph: (843) 663-8000 |
| NPI Number | 1346057056 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346057056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Southeastern Hospitalist Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Homestead Hospice Of Augusta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579 Phone: 843-504-3421 Fax: 843-504-3422 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-839-6000 | |
States Of Wellbeing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Village Center Blvd, Myrtle Beach, SC 29579 Phone: 304-482-4826 Fax: 843-484-3831 | |
La Bella Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-424-3015 | |
Mychiromed, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4012 Postal Way Ste A, Myrtle Beach, SC 29579 Phone: 843-236-6291 Fax: 843-872-9190 | |
Jga Medical Ventures, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 Woodview Ln, Myrtle Beach, SC 29575 Phone: 843-828-3352 Fax: 843-357-1471 |