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CONWAY HOSPITAL INC. NPI 1104223908


NPI Information

NPI: 1104223908
Provider Name: CONWAY HOSPITAL, INC.

Former Legal Business Name: CONWAY HOSPITAL COMMUNITY SERVICES

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
8024 MYRTLE TRACE DR
CONWAY, SC
ZIP 29526
Phone: (843) 234-8950
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CONWAY HOSPITAL, INC. is a neurology psychiatry neurology in Conway, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CONWAY HOSPITAL, INC. NPI is 1104223908. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Conway Hospital Community Services.

The provider's business location address is:

8024 MYRTLE TRACE DR
CONWAY, SC
ZIP 29526-945
Phone: (843) 234-8950
Fax: (843) 234-8951

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 enumeration date for this NPI number is 11/24/2014 and was last updated on 2/15/2022.


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
12084N0400XPsychiatry & NeurologyNeurologySOUTH CAROLINANo
2363AM0700XPhysician AssistantMedicalNo
32084N0400XPsychiatry & NeurologyNeurologyYes

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
1GP7301MEDICAIDSOUTH 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

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