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
MRS. AVANGELA KAY CRISWELL (BUSINESS OFFICE DIRECTOR)
(843) 663-8017
Entity
Organization
Contact information
Practice address
1005 OSCEOLA ST, MYRTLE BEACH, SC 29577-8008
(843) 663-8000
(843) 663-1017
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8017
(843) 663-1017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
10/21/2008
Last updated
05/31/2012
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