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NPI Code Detail

MEDICARE: CONWAY HOSPITAL COMMUNITY SERVICES

MEDICARE: CONWAY HOSPITAL COMMUNITY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center10578SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
142-3825OTHERSCRHC CMS CCN

General Provider Information

NPI Number : 1306166012
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONWAY HOSPITAL COMMUNITY SERVICES
Provider Business Mailing Address
First Line : PO BOX 2180
Second Line :
City : CONWAY
State : SC
Zip : 29528-2180
Country : US
Telephone Number : 843-234-5139
Fax Number : 843-234-6822
Provider Business Practice Location Address
First Line : 1301 CREEL ST
Second Line :
City : CONWAY
State : SC
Zip : 29527-5018
Country : US
Telephone Number : 843-248-4414
Fax Number : 843-248-3781
Authorized Official
Title or Position : PRESIDENT
Name : WARREN C RATLEY
Credential :
Telephone Number : 843-234-5139
Provider Enumeration Date : 06/03/2010
Last Update Date : 05/10/2016

Similar Medicare Providers

1114903051 — DR. JAMES W ADAMSON MD
Practice Location Address:
1301 CREEL STREET
CONWAY, SC
29527-5018
Practice Phone: 843-248-4414
Practice Fax: 843-248-3781
1508946765 — MRS. KATHRYN ANN SCHISLER PA-C
Practice Location Address:
1301 CREEL ST
CONWAY, SC
29527-5018
Practice Phone: 843-248-4414
Practice Fax: 843-248-3781
1336336916 — CONWAY HOSPITAL, INC.
Practice Location Address:
1301 CREEL ST
CONWAY, SC
29527-5018
Practice Phone: 843-248-4414
Practice Fax: 843-248-3781
1508127911 — ERIN STEWART FLOYD PA-C
Practice Location Address:
1301 CREEL ST
CONWAY, SC
29527-5018
Practice Phone: 843-248-4414
Practice Fax: 843-248-3781
1427677053 — BENNETT HASKIN TEAL MD
Practice Location Address:
1301 CREEL ST
CONWAY, SC
29527-5018
Practice Phone: 843-248-4414
Practice Fax: 843-248-3781
1932054012 — MEDILABS LLC
Practice Location Address:
1302 4TH AVE STE 1
CONWAY, SC
29526-5018
Practice Phone: 843-438-8064
Practice Fax: 843-438-8064

Directions to “CONWAY HOSPITAL COMMUNITY SERVICES ” Practice Location

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