LITTLE RIVER MEDICAL CENTER INC
NPI 1629021076
Clinic/Center - Federally Qualified Health Center (FQHC) in Little River, SC

Q: What is Little River Medical Center Inc's NPI number?

The NPI number for Little River Medical Center Inc is 1629021076. It was assigned to this organization in the NPPES registry on May 18, 2006.

Q: 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.

Active since May 18, 2006

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 280-2455 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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 1629021076) is a healthcare organization registered as a federally qualified health center (fqhc) in Little River, South Carolina and active in the NPI registry since May 2006. The organization lists Pamela R Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629021076

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLITTLE RIVER MEDICAL CENTER INC

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-1017

Phone(843) 663-8000

Fax(843) 280-2455

Organization SubpartNo

Authorized OfficialPamela R DavisCeo · (843) 663-8001

Enumeration DateMay 18, 2006

Last NPPES UpdateMay 21, 2014

✔ NPI 1629021076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDentistTaxonomy 122300000X

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X

Also ListedPharmacistTaxonomy 183500000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4303 LIVE OAK DR, Little River, SC 29566

Open in Google Maps ↗

Other Identifiers 4

MedicaidZA9656SC

Medicare OSCAR/certification421827SC

MedicaidFQC024SC

Medicare PIN1879SC

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 20

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

JESSE MITCHEL RAYBON DMD

Dentist