Little River Medical Center Inc
NPI 1053471623ActiveOrganization· Dentist· Little River, SC
Dentist in Little River, South Carolina, registered in NPPES in December 2006, part of Little River Medical Center, Inc. The authorized official on file is Avangela Kay Criswell, Business Office Director.
Overview
| NPI | 1053471623 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Little River Medical Center, Inc. |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Nov 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4406 | SC |
| Clinic/Center, Federally Qualified Health Center (FQHC) | 261QF0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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