OrganizationActive
Little River Medical Center, Inc.
NPI 1346057056 · Multi-Specialty Clinic/Center · Myrtle Beach, SC
Provider details
- NPI number
- 1346057056
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Little River Medical Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Tammy Porter, Provider Enrollment Coordinator(843) 663-8000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Practice location
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone: (843) 663-8000
Fax: (843) 663-8166
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 547
Little River, SC 29566-0547
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2024-12-16
- Certified
- 2024-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.