LITTLE RIVER MEDICAL CENTER, INC. (NPI# 1932423357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932423357 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL CENTER, INC. |
| Practice Address |
6555 Highway 134 Conway SC 29527-5213 |
| Mailing Address |
287 Highway 90 E Ste 5 Ste#5 Little River SC 29566-7214 |
| Practice Telephone | 8433972579 |
| Practice Fax Number | 8433971426 |
| Mailing Telephone | 8436631013 |
| Mailing Fax Number | 8436631017 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | MRS. AVANGELA K CRISWELL (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 8436631013 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE RIVER MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4406 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9656 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932457751 | Little River Medical Center, Inc. | Clinic/Center | 700 Augusta Plantation Drive, Myrtle Beach, SC 29579-6713 | 2012-08-28 |
| 1225304546 | Little River Medical Center, Inc. | Counselor | 1411 10th Ave N, Myrtle Beach, SC 29577-5615 | 2012-03-30 |
| 1528333952 | Little River Medical Center, Inc. | Dentist | 504 Church St, Conway, SC 29526-4822 | 2012-03-19 |
| 1437455144 | Little River Medical Center, Inc. | Social Worker | 7726 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2011-01-28 |
| 1841514262 | Little River Medical Center, Inc. | Dentist | 3001 4th Ave, Conway, SC 29527-5914 | 2010-03-15 |
| 1679897094 | Little River Medical Center, Inc. | Dentist | 620 29th Ave N, Myrtle Beach, SC 29577-3169 | 2010-03-15 |
| 1942524368 | Little River Medical Center, Inc. | Dentist | 5209 Highway 66, Loris, SC 29569-5962 | 2010-03-15 |
| 1437473857 | Little River Medical Center, Inc. | Dentist | 1101 Snowhill Dr, Conway, SC 29526-3665 | 2010-03-15 |
| 1851615272 | Little River Medical Center, Inc. | Dentist | 3011 Nichols Hwy, Galivants Ferry, SC 29544-6059 | 2010-03-15 |
| 1770807190 | Little River Medical Center, Inc. | Dentist | 4580 Highway 472, Conway, SC 29526-6340 | 2010-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LITTLE RIVER MEDICAL CENTER, INC. | 451 W Locke St, Ashdown, AR 71822-3325 |
| Street Address |
6555 HIGHWAY 134 |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| Find all providers in zip 29527 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1487131793 | Jimiskumar Satishkumar Patel | Dentist | 2676 Church St Unit A, Conway, SC 29526-4471 | 2018-07-20 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1033657382 | Heath Bryan Coleman, Dds of Arkansas II, Pllc | Dentist | 635 Dave Ward Drive, Ste 101, Conway, AR 72034 | 2017-02-07 |
| 1235518796 | Ryan Burzese | Dentist | 1936 Aspen Ct, Conway, PA 15027-1363 | 2015-05-29 |
| 1528480902 | Conway Village Dental | Dentist | 21a Poliquin Drive, Conway, NH 03818 | 2014-01-20 |
| 1528333952 | Little River Medical Center, Inc. | Dentist | 504 Church St, Conway, SC 29526-4822 | 2012-03-19 |
| 1487937629 | Centerstone Family Dentistry, Pllc | Dentist | 2235 Dave Ward Dr, Suite 103, Conway, AR 72034-7039 | 2011-09-23 |
| 1841514262 | Little River Medical Center, Inc. | Dentist | 3001 4th Ave, Conway, SC 29527-5914 | 2010-03-15 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.