TIDELANDS HEALTH MARKET COMMON LLC (NPI# 1609437961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609437961 |
| Entity Type | Organization |
| Organization Name | TIDELANDS HEALTH MARKET COMMON LLC |
| Other Organization Name | TIDELANDS HEALTH IMAGING |
| Practice Address |
2200 Crow Ln Ste 103 Myrtle Beach SC 29577-1663 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8438485000 |
| Practice Fax Number | 8438485001 |
| Mailing Telephone | 8435277000 |
| Mailing Fax Number | 8436528032 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | ELIZABETH S WARD (EVP & CFO) |
| Authorized Official Telephone | 8435277102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tidelands Health Imaging | Doing Business As Name - Organization |
| Tidelands Health Imaging at The Market Common | Doing Business As Name - Organization |
| Street Address |
2200 CROW LN STE 103 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275366 | Tidelands and Medquest Joint Venture, LLC | Clinic/Center | 900 21st Ave N, Myrtle Beach, SC 29577-7483 | 2019-06-26 |
| 1184740680 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 4701 Oleander Dr, Ste C, Myrtle Beach, SC 29577-5762 | 2007-03-22 |
| 1033178934 | Strand Regional Specialty | Clinic/Center | 8170 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568981843 | Medical Imaging Express | Clinic/Center | 361 Woodruff Rd, Greenville, SC 29607-3415 | 2017-09-18 |
| 1124370713 | Jacquette Caldwell Md Pa | Clinic/Center | 28 Wildeoak Ct, Columbia, SC 29223-3292 | 2012-10-08 |
| 1912215427 | Southside Imaging Center LLC | Clinic/Center | 430 Society Hill Drive, Aiken, SC 29803 | 2010-09-17 |
| 1760799241 | United Rehab Inc | Clinic/Center | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 | 2010-09-07 |
| 1225291206 | Manning Diagnostics LLC | Clinic/Center | 202 E Hospital St, Manning, SC 29102-3160 | 2008-07-09 |
| 1013170109 | Imaging Center At Baxter Village, L.L.C. | Clinic/Center | 509 6th Baxter Crossing, Fort Mill, SC 29708 | 2008-07-08 |
| 1073772737 | Orangeburg Cardiac Imaging Center | Clinic/Center | 1892 Saint Matthews Rd, Orangeburg, SC 29118-2404 | 2008-06-06 |
| 1861671711 | Southern Mri | Clinic/Center | 49 Pennington Dr Ste B, Bluffton, SC 29910-9014 | 2007-10-29 |
| 1679699144 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1704 E Main St, Duncan, SC 29334-9708 | 2007-03-22 |
| 1821114315 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1120 W Evans St, Florence, SC 29501-3320 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on TIDELANDS HEALTH MARKET COMMON LLC.
| 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.