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ADVANTAGE HEALTH CENTER LLC NPI 1598742041


NPI Information

NPI: 1598742041
Provider Name: ADVANTAGE HEALTH CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4301 HIGHWAY 544
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 215-5000
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ADVANTAGE HEALTH CENTER, LLC is a family medicine in Myrtle Beach, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADVANTAGE HEALTH CENTER, LLC NPI is 1598742041. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4301 HIGHWAY 544
MYRTLE BEACH, SC
ZIP 29588-807
Phone: (843) 215-5000
Fax: (843) 215-5005

The provider's authorized official is Donald W Tice .
The authorized official title is Managing Physician and has the following contact phone number (843) 215-5000.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0584SOUTH CAROLINANo
2207Q00000XFamily Medicine0708SOUTH CAROLINANo
3207Q00000XFamily MedicineDO1072SOUTH CAROLINANo
4207Q00000XFamily Medicine0847SOUTH CAROLINANo
5207Q00000XFamily Medicine0364SOUTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H84423MEDICARE UPINSOUTH CAROLINA
2P00134805OTHERSOUTH CAROLINAR/R MEDICARE PROVIDER ID
3GP1373MEDICAIDSOUTH CAROLINA
46003MEDICARE PINSOUTH CAROLINA
5AA04776003MEDICARE PINSOUTH CAROLINA
6P74639OTHERSOUTH CAROLINACAROLINA CARE PLAN
7CI2223OTHERR/R MEDICARE GROUP ID
8I08559MEDICARE UPINSOUTH CAROLINA
9P00057006OTHERSOUTH CAROLINAR/R MEDICARE PROVIDER ID
10=========OTHERSOUTH CAROLINATRICARE
11AA22096003MEDICARE PINSOUTH CAROLINA
12=========OTHERSOUTH CAROLINABC/BS
13H35397MEDICARE UPINSOUTH CAROLINA
14E25771MEDICARE UPINSOUTH 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: 4/28/2024

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.