CONWAY HOSPITAL COMMUNITY SERVICES NPI 1821335068

NPI Information

  • NPI: 1821335068
  • Provider Name: CONWAY HOSPITAL COMMUNITY SERVICES
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: CPG FAMILY MEDICINE
  • CLIA Number: 42D1106283
  • Address: 51 11TH AVE
    AYNOR, SC
    ZIP 29511
  • Phone: (843) 358-3700

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NPI Details

CONWAY HOSPITAL COMMUNITY SERVICES is a rural health clinic center in Aynor, SC. CONWAY HOSPITAL COMMUNITY SERVICES NPI is 1821335068. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cpg Family Medicine.

The provider's business location address is:

51 11TH AVE
AYNOR, SC
ZIP 29511-249
Phone: (843) 358-3700
Fax: (843) 358-3707

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 42D1106283 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2013 and was last updated on 12/28/2023.

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 MedicineNo
2363AM0700XPhysician AssistantMedicalNo
3363LF0000XNurse PractitionerFamilyNo
4261QR1300XClinic/CenterRural HealthYes

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
1GP6275MEDICAIDSOUTH CAROLINA
2RHC224MEDICAIDSOUTH 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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