OrganizationActive
Collaborative & Innovated Care
NPI 1114752409 · Multi-Specialty Clinic/Center · North Myrtle Beach, SC
Provider details
- NPI number
- 1114752409
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ela Clarida, Owner(843) 222-5395
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1016 2nd Ave N Ste 203a
North Myrtle Beach, SC 29582-3288
Phone: (843) 222-5395
Fax: (866) 340-0296
Approximate (ZIP-level) locationGet directions
Mailing address
1016 2nd Ave N Ste 203a
North Myrtle Beach, SC 29582-3288
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2024-09-29
- Certified
- 2024-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.