Loris Community Hospital District

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LORIS COMMUNITY HOSPITAL DISTRICT

Doing business as

Seacoast Primary Care

Practice address

3980 Highway 9 E
Suite 100
Little River, SC 29566-7832

Phone

(843) 390-8320

Fax

(843) 390-8329

NPI assigned

Jun 29, 2009

Organization subpart

Yes

Parent organization

LORIS COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Ward

Title

Credentialing

Phone

(919) 880-6406

Specialties & licenses 2

Addresses

Other names 1

• Seacoast Primary Care Doing business as

Part of

Loris Physician Services

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1144458167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E",
            "address_2": "SUITE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667832",
            "telephone_number": "843-390-8320",
            "fax_number": "843-390-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E",
            "address_2": "SUITE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667832",
            "telephone_number": "843-390-8320",
            "fax_number": "843-390-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "919-880-6406"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seacoast Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Little River Medical Center, Inc.
• Little River Respiratory Care Inc
• Charles Steven Livingston, PARAMEDIC
• Looking Glass Counseling
• Steven Lopresto, PA
• Low County Nemt, LLC
• David Eric Lukowski, M.D.
• Meredith Michelle Lukowski, FNP
• Peter Joseph Lukowski, M.D.
• Dawn M. Lutz, MSN, CRNP

• Family Medicine Physician in Little River, SC
• Providers in Little River, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.