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LITTLE RIVER MEDICAL CENTER, INC.
NPI 1508120619
Clinic/Center - Federally Qualified Health Center (FQHC) in Myrtle Beach, SC

Active since July 03, 2012
3236 HOLMESTOWN RD, MYRTLE BEACH, SC 29588(843) 663-8000 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little River Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITTLE RIVER MEDICAL CENTER, INC. (NPI 1508120619) is a healthcare organization registered as a federally qualified health center (fqhc) in Myrtle Beach, South Carolina and active in the NPI registry since July 2012. The organization maintains 3 additional practice locations and lists Pamela Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508120619
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.
Location Address3236 HOLMESTOWN RDMyrtle Beach, SC 29588-7495
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-1018
Phone(843) 663-8000
Organization SubpartNo
Authorized OfficialPamela DavisCeo · (843) 663-8001
Enumeration DateJuly 3, 2012
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1508120619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
3236 HOLMESTOWN RD, Myrtle Beach, SC 29588
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Secondary Practice Locations 3

Location 13515 Caduceus Dr Ste CMyrtle Beach, SC 29588-2922 · Phone (843) 663-8013 · Fax (843) 663-8166
Location 25046 Highway 17 Byp S Ste 203Myrtle Beach, SC 29588-4503 · Phone (843) 663-8013
Location 33515 Caduceus Dr Ste BMyrtle Beach, SC 29588-2922 · Phone (843) 663-8000

Other Identifiers 1

MedicaidFQC117SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE WILTSHIRE RDN
Dietitian, Registered
3236 HOLMESTOWN RD, SUITE E1
MYRTLE BEACH, SC 29588
Horry County (843) 663-8000
LUIS D INSIGNARES MD
Family Medicine
3236 HOLMESTOWN RD, SUITE E1
MYRTLE BEACH, SC 29588
Horry County (843) 663-8000
TAMARA LEDFORD FNP
Nurse Practitioner (Family)
3236 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Horry County (843) 663-8063
JENNIFER B HAYNES F.N.P
Nurse Practitioner (Family)
3236 HOLMESTOWN RD, SUITE E1
MYRTLE BEACH, SC 29588
Horry County (843) 663-8000
DENISE WILSON RN-CDE
Registered Nurse (Diabetes Educator)
3236 HOLMESTOWN RD, SUITE E-1
MYRTLE BEACH, SC 29588
Horry County (843) 663-8000
AZHANE POWELL LISW
Social Worker (Clinical)
3236 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Horry County (843) 663-8000
BRANDY VAN HEYDE APRN
Nurse Practitioner (Family)
3236 HOLMESTOWN RD, STE E1
MYRTLE BEACH, SC 29588
Horry County (843) 663-8000
LITTLE RIVER MEDICAL CENTER INC
Pharmacy
3236 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Horry County (843) 663-8833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Little River Medical Center, Inc.'s NPI number?

The NPI number for Little River Medical Center, Inc. is 1508120619. It was assigned to this organization in the NPPES registry on July 3, 2012.

Where is Little River Medical Center, Inc. located?

Little River Medical Center, Inc. is located at 3236 Holmestown Rd, Myrtle Beach, SC 29588. The listed phone number is (843) 663-8000.

What is Little River Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Little River Medical Center, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Little River Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Little River Medical Center, Inc. was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.