Little River Medical Center Inc in Little River - Federally Qualified Health Center (fqhc)
Little River Medical Center Inc - NPI 1053471623
Little River Medical Center Inc is a Federally Qualified Health Center (fqhc) in Little River, South Carolina. Little River Medical Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Little River Medical Center Inc is 1053471623. The last update date is 2012-11-02.
Little River Medical Center Inc's current location address is Po Box 547, Little River, South Carolina. You can contact this provider via phone number 8436638017 and fax number 8436631017. The mailing address for Little River Medical Center Inc is Po Box 547, Little River, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Little River Medical Center Inc |
|---|---|
| Address | Po Box 547, Little River, South Carolina |
| Phone Number | 8436638017 |
| Fax Number | 8436631017 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Criswell Kay Avangela |
| Telephone Number | 8436638017 |
NPI Number Detail
| NPI Number | 1053471623 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2012-11-02 |
Provider Mailing Address Detail
| Address | Po Box 547 |
|---|---|
| City | Little River |
| State | South Carolina (SC) |
| Post Code | 295660547 |
| Phone Number | 8436638017 |
| Fax Number | 8436631017 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9656 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Little River Medical Center Inc?
The Little River Medical Center Inc has been issued the NPI (National Provider Identifier) 1053471623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Little River Medical Center Inc located?
The Little River Medical Center Inc is located at Po Box 547, Little River, SC 295660547.
What is the Little River Medical Center Inc's area of specialization and corresponding taxonomy classification?
The Little River Medical Center Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
When was the Little River Medical Center Inc's 1053471623 issued?
The Little River Medical Center Inc's 1053471623 was issued on 2006-12-12.
When was the information regarding Little River Medical Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Little River Medical Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-11-02.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC