CONWAY HOSPITAL INC. NPI 1336336916

NPI Information

  • NPI: 1336336916
  • Provider Name: CONWAY HOSPITAL, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: CPG INTERNAL MEDICINE CREEL STREET
  • Address: 1301 CREEL ST
    CONWAY, SC
    ZIP 29527
  • Phone: (843) 248-4414

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NPI Details

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 1336336916. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cpg Internal Medicine Creel Street.

The provider's business location address is:

1301 CREEL ST
CONWAY, SC
ZIP 29527-018
Phone: (843) 248-4414
Fax: (843) 248-3781

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 9/27/2007 and was last updated on 9/27/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports MedicineNo
2207R00000XInternal MedicineNo
3363AM0700XPhysician AssistantMedicalNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily MedicineYes

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
1GP4505MEDICAIDSOUTH 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: 11/21/2025

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