INCLUSIVE HEALTHCARE CENTER NPI 1144811068

NPI Information

NPI: 1144811068
Provider Name: INCLUSIVE HEALTHCARE CENTER

Former Legal Business Name: ADVANCED PRACTICE HEALTH CARE SOLUTIONS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4882 SOCASTEE BLVD
MYRTLE BEACH, SC
ZIP 29588
Phone: (803) 586-4819
Get Directions

INCLUSIVE HEALTHCARE CENTER is a primary care clinic center in Myrtle Beach, SC. INCLUSIVE HEALTHCARE CENTER NPI is 1144811068. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Advanced Practice Health Care Solutions.

The provider's business location address is:

4882 SOCASTEE BLVD
MYRTLE BEACH, SC
ZIP 29588-245
Phone: (803) 586-4819
Fax: (843) 668-2742

The provider's authorized official is Beverly Miller .
The authorized official title is Ceo/dnp and has the following contact phone number (843) 668-2744.

The CLIA number assigned to this NPI record is 42D2237023 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/2/2021 and was last updated on 12/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1275941213	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »