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Organization

LITTLE RIVER MEDICAL CENTER INC

Active
Parent organization
LITTLE RIVER MEDICAL CENTER, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official
JACQUELINE BLANKENSHIP (REVENUE CYCLE DIRECTOR)
(843) 663-8013
Entity
Organization

Contact information

Practice address
5605 HIGHWAY 501 E, AYNOR, SC 29511-3470
(843) 663-8000
Mailing address
5605 HIGHWAY 501 E, AYNOR, SC 29511-3470
(843) 663-8000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
1223G0001X
General Practice Dentistry
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
207Q00000X
Family Medicine Physician
207QA0000X
Adolescent Medicine (Family Medicine) Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/03/2025
Last updated
04/22/2026
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