LITTLE RIVER MEDICAL CENTER, INC. (NPI# 1881877769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881877769 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL CENTER, INC. |
| Practice Address |
901 11th Ave N North Myrtle Beach SC 29582-2509 |
| Mailing Address |
Po Box 547 Little River SC 29566-0547 |
| Practice Telephone | 8436630195 |
| Practice Fax Number | 8432498638 |
| Mailing Telephone | 8436631013 |
| Mailing Fax Number | 8436631017 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | MRS. AVANGELA KAY 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 | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC024 | 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 |
901 11TH AVE N |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip Code | 29582-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1215561865 | Janella Jackson | In Home Supportive Care | North Myrtle Beach Business Center Suite 115, 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-02-22 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
| 1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
| 1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
| 1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
| 1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
| Find all providers in zip 29582 | ||||
| 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 |
|---|---|---|---|---|
| 1396290243 | Jesse Blair | Dentist | 1586 Highway 17 N, North Myrtle Beach, SC 29582-2552 | 2016-08-22 |
| 1588118756 | Kaitlyn Marie Thompson | Dentist | 1401 Lighthouse Dr, Unit 4126, North Myrtle Beach, SC 29582-6894 | 2016-08-05 |
| 1780008110 | Craig L. Milburn, Dmd LLC | Dentist | 418 Main St Ste C, North Myrtle Beach, SC 29582-3041 | 2014-02-05 |
| 1639347917 | John P Finucane | Dentist | 1004 Sea Mountain Hwy, North Myrtle Beach, SC 29582-2211 | 2008-02-20 |
| 1336337047 | Marlene Mendez | Dentist | 1240 Highway 17 South, North Myrtle Beach, SC 29582-3707 | 2007-10-09 |
| 1013964147 | D. Calvin Riley Jr. Dmd Pa | Dentist | 602 17th Ave So, North Myrtle Beach, SC 29582 | 2006-05-26 |
| 1215598792 | Shayal Narayan | Dentist | 1586 Highway 17 N, North Myrtle Beach, SC 29582-2552 | 2019-06-25 |
| 1245753714 | George Peter Sourlis | Dentist | 418 Main St, North Myrtle Beach, SC 29582-3041 | 2017-07-17 |
| 1396913208 | Abdel Hassan Darensburg | Dentist | 1240 Highway 17 S, North Myrtle Beach, SC 29582-3707 | 2008-02-13 |
| 1699973800 | Craig Lee Milburn | Dentist | 418 Main St, North Myrtle Beach, SC 29582-3041 | 2007-07-10 |
| Find all providers in NORTH MYRTLE BEACH | ||||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
Please comment or provide details below to improve the information on LITTLE RIVER MEDICAL CENTER, INC..
| 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.