LITTLE RIVER MEDICAL CENTER, INC. (NPI# 1932457751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932457751 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL CENTER, INC. |
| Practice Address |
700 Augusta Plantation Drive Myrtle Beach SC 29579-6713 |
| Mailing Address |
Po Box 547 Little River SC 29566-0547 |
| Practice Telephone | 8439036300 |
| Practice Fax Number | 8439036301 |
| Mailing Telephone | 8436638000 |
| Mailing Fax Number | 8436631018 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | PAMELA DAVIS (CEO) |
| Authorized Official Telephone | 8436638000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE RIVER MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1932423357 | Little River Medical Center, Inc. | Dentist | 6555 Highway 134, Conway, SC 29527-5213 | 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 |
700 AUGUSTA PLANTATION DRIVE |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 1306499561 | Lauren Tomlinson | Dentist | 100 Debo Dr Unit 100, Myrtle Beach, SC 29579-4920 | 2019-07-17 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1568895688 | Jerrel A Mills | Dentist | 1209 N Retail Ct, Myrtle Beach, SC 29577-9626 | 2013-08-12 |
| 1013299221 | William Christopher Harding Iv | Dentist | 100 Debo Dr, Myrtle Beach, SC 29579-4920 | 2011-09-13 |
| 1093096984 | Adult and Children's Dentistry At Carolina Forest Inc | Dentist | 4032 River Oaks Dr Ste 2, Myrtle Beach, SC 29579-6696 | 2011-09-06 |
| 1679897094 | Little River Medical Center, Inc. | Dentist | 620 29th Ave N, Myrtle Beach, SC 29577-3169 | 2010-03-15 |
| 1114241536 | Little River Medical Center, Inc. | Dentist | 8900 Highway 544, Myrtle Beach, SC 29588-9233 | 2010-03-15 |
| 1396069613 | Little River Medical Center, Inc. | Dentist | 9711 Saint James Rd, Myrtle Beach, SC 29588-7431 | 2010-03-15 |
| 1811210347 | Little River Medical Center, Inc. | Dentist | 4000 Panthers Pkwy, Myrtle Beach, SC 29588-8402 | 2010-03-11 |
| 1386967818 | Little River Medical Center, Inc. | Dentist | 6612 29th Ave North, Myrtle Beach, SC 29577-3169 | 2010-03-11 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.