LITTLE RIVER MEDICAL CENTER, INC.
NPI 1669535225
Clinic/Center - Federally Qualified Health Center (FQHC) in Myrtle Beach, SC

Active since December 18, 2006
1075 MR. JOE WHITE AVE, UNIT 101, MYRTLE BEACH, SC 29577(843) 839-2049(843) 839-1857 Get Directions Write a Review

NPPES record last updated: August 2, 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 1669535225) is a healthcare organization registered as a federally qualified health center (fqhc) in Myrtle Beach, South Carolina and active in the NPI registry since December 2006. The organization lists Avangela Kay Criswell, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1669535225
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.
Location Address1075 MR. JOE WHITE AVE, UNIT 101Myrtle Beach, SC 29577-5658
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-1013 · Fax (843) 663-1017
Fax(843) 839-1857
Organization SubpartYes
Authorized OfficialAvangela Kay CriswellBusiness Office Director · (843) 663-1013
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
NPI 1669535225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1075 MR. JOE WHITE AVE, Myrtle Beach, SC 29577

Other Identifiers 1

MedicaidFQC066SC

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

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 1669535225. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Little River Medical Center, Inc. located?

Little River Medical Center, Inc. is located at 1075 Mr. Joe White Ave Unit 101, Myrtle Beach, SC 29577. The listed phone number is (843) 839-2049.

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 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 August 2, 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.