NPIMap

Little River Medical Center Inc

A Medicare group practice based in Myrtle Beach, SC: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 2961309315), with 104 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2961309315The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
14
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 4 places

Enrollment records 14

Enrollment IDStateProvider typeNPI
O20031215000742 SC Part B Supplier - Clinic/Group Practice 1629021076
O20040127000790 SC Part A Provider - Federally Qualified Health Center (FQHC) 1669535225
O20040127000916 SC Part A Provider - Federally Qualified Health Center (FQHC) 1184783284
O20070416000544 SC Part A Provider - Federally Qualified Health Center (FQHC) 1629021076
O20260511000228 SC Part A Provider - Federally Qualified Health Center (FQHC) 1063381549
O20170524001573 SC Part B Supplier - Clinic/Group Practice 1508120619
O20170523001559 SC Part B Supplier - Clinic/Group Practice 1619100096
O20170523000231 SC Part B Supplier - Clinic/Group Practice 1184783284
O20170510000410 SC Part B Supplier - Clinic/Group Practice 1346638483
O20170601000080 SC Part B Supplier - Clinic/Group Practice 1669535225
O20120911000377 SC Part A Provider - Federally Qualified Health Center (FQHC) 1508120619
O20150416002184 SC Part A Provider - Federally Qualified Health Center (FQHC) 1346638483
O20100729000883 SC Part A Provider - Federally Qualified Health Center (FQHC) 1184783284
O20091110000091 SC Part A Provider - Federally Qualified Health Center (FQHC) 1619100096

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 104

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (104) or whom Care Compare lists as members (38).

Sources for this page