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Little River Medical Center Inc

Federally Qualified Health Center (FQHC) in Little River, SC · enumerated 2006 · authorized official Pamela Davis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629021076

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Registry record

Entity type Organization (Type 2)
Legal business name Little River Medical Center Inc
Practice address 4303 Live Oak Dr, Little River, SC, 29566
Fax (843) 280-2455
Enumeration date May 18, 2006
Last updated in NPPES May 21, 2014

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
122300000X Dentist Dental Providers Secondary
163WD0400X Diabetes Educator Registered Nurse Nursing Service Providers Secondary
183500000X Pharmacist Pharmacy Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Pamela Davis
Title Ceo

Other identifiers

Identifier Type State Issuer
FQC024 Medicaid SC -
ZA9656 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Little River Medical Center Inc?
Little River Medical Center Inc is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-21.