CONWAY HOSPITAL INC. NPI 1720350317

NPI Information

  • NPI: 1720350317
  • Provider Name: CONWAY HOSPITAL, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: CONWAY HOSPITAL COMMUNITY SERVICES
  • CLIA Number: 42D2045032
  • Address: 6010 HIGHWAY 707 STE 100
    MYRTLE BEACH, SC
    ZIP 29588
  • Phone: (843) 234-8939

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NPI Details

CONWAY HOSPITAL, INC. 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. CONWAY HOSPITAL, INC. NPI is 1720350317. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Conway Hospital Community Services.

The provider's business location address is:

6010 HIGHWAY 707 STE 100
MYRTLE BEACH, SC
ZIP 29588-321
Phone: (843) 234-8939
Fax: (843) 234-8959

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 42D2045032 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 5/17/2024.

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
1207Q00000XFamily MedicineYes
2363AM0700XPhysician AssistantMedicalNo
3363LF0000XNurse PractitionerFamilyNo

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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