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CONWAY HOSPITAL INC NPI 1760630966


NPI Information

NPI: 1760630966
Provider Name: CONWAY HOSPITAL INC

Former Legal Business Name: CONWAY HOSPITAL COMMUNITY SERVICES

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4022 POSTAL WAY
SUITE C
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 903-4111
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CONWAY HOSPITAL INC is a pediatrics in Myrtle Beach, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CONWAY HOSPITAL INC NPI is 1760630966. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Conway Hospital Community Services.

The provider's business location address is:

4022 POSTAL WAY
SUITE C
MYRTLE BEACH, SC
ZIP 29579-537
Phone: (843) 903-4111
Fax: (843) 903-4242

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 9/3/2008 and was last updated on 2/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2208000000XPediatricsYes

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
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: 4/28/2024

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