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CONWAY HOSPITAL INC. NPI 1043809569


NPI Information

NPI: 1043809569
Provider Name: CONWAY HOSPITAL, INC.

Doing Business As: CMC PRIMARY CARE HIGHWAY 90

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0965858

Address:
4300 HIGHWAY 90
CONWAY, SC
ZIP 29526
Phone: (843) 399-3377
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CONWAY HOSPITAL, INC. is a family medicine in Conway, 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. CONWAY HOSPITAL, INC. NPI is 1043809569. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cmc Primary Care Highway 90.

The provider's business location address is:

4300 HIGHWAY 90
CONWAY, SC
ZIP 29526
Phone: (843) 399-3377

The provider's authorized official is Mary Ellen Artioli .
The authorized official title is Credentialing Specialist and has the following contact phone number (843) 234-6946.

The CLIA number assigned to this NPI record is 42D0965858 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 9/16/2021.


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
1207R00000XInternal MedicineNo
2363AM0700XPhysician AssistantMedicalNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

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: 5/5/2024

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