LITTLE RIVER MEDICAL CENTER INC
LITTLE RIVER MEDICAL CENTER INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629021076, based in Little River, SC. The organization lists 7 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 4303 LIVE OAK DR, Little River, SC 29566. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2961309315
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| South Carolina | O20031215000742 | Part B Supplier - Clinic/group Practice |
| South Carolina | O20070416000544 | Part A Provider - Federally Qualified Health Center (fqhc) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | |
| 1041C0700X | Clinical Social Worker Clinical | — | SC | |
| 163WD0400X | Diabetes Educator Registered Nurse Diabetes Educator | — | SC | |
| 122300000X | Dentist | — | SC | |
| 183500000X | Pharmacist | — | SC | |
| 363LF0000X | Family Nurse Practitioner Family | — | SC | |
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629021076 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 18, 2006 |
| Last updated | May 21, 2014 |
| Status | Active |
| Practice address |
4303 LIVE OAK DR Little River, SC 29566 (843) 663-8000 Fax (843) 280-2455 |
| Mailing address |
PO BOX 547 Little River, SC 29566 |
| Other identifiers |
FQC024
· Medicaid (SC) ZA9656 · Medicaid (SC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 0 | 2 | 1 | 0 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 0 | 2 | 2 | 0 | 5 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.