CONWAY HOSPITAL COMMUNITY SERVICES (NPI# 1821335068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821335068 |
Entity Type | Organization |
Organization Name | CONWAY HOSPITAL COMMUNITY SERVICES |
Other Organization Name | CPG FAMILY MEDICINE |
Practice Address |
51 11th Ave Aynor SC 29511-3249 |
Mailing Address |
Po Box 2180 Conway SC 29528-2180 |
Practice Telephone | 8433583700 |
Practice Fax Number | 8433583707 |
Mailing Telephone | 8432345139 |
Mailing Fax Number | 8432346822 |
Enumeration Date | 2013-01-08 |
Last Update Date | 2015-02-13 |
Authorized Official Name | BRET A BARR (CFO) |
Authorized Official Telephone | 8433478037 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP4505 | 05 | |
SC | MEDICARE PTAN | 7844 | 01 |
Other Name | Type Code |
---|---|
CPG Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467772400 | Conway Hospital Community Services | Clinic/Center | 1213 Elm Street, Aynor, SC 29511 | 2010-06-01 |
1043632805 | Conway Hospital Community Services | Obstetrics & Gynecology | 8004 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-01-14 |
1689928103 | Conway Hospital Community Services | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2012-11-06 |
1518268317 | Conway Hospital Community Services | Surgery | 2376 Cypress Cir, Suite 103, Conway, SC 29526-8964 | 2010-11-10 |
1306166012 | Conway Hospital Community Services | Clinic/Center | 1301 Creel St, Conway, SC 29527-5018 | 2010-06-03 |
1467698076 | Conway Hospital Community Services | Nurse Practitioner | 124 Professional Park Dr, Suite A, Conway, SC 29526-9260 | 2009-01-02 |
1033244793 | Conway Hospital Community Services | Internal Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2007-02-22 |
1801955141 | Conway Hospital Community Services | Family Medicine | 1213 Elm St, Aynor, SC 29511-3320 | 2006-12-06 |
Street Address |
51 11TH AVE |
City | AYNOR |
State | SC |
Zip Code | 29511-3249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013280031 | Kimberly N Spivey | Nurse Practitioner | 51 11th Ave, Aynor, SC 29511-3249 | 2012-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
1376057570 | Golden Town Pharmacy, LLC | Pharmacy | 2837 Highway 501 East, Aynor, SC 29511 | 2017-11-27 |
1174951545 | Joan Cribb Richardson I | Pharmacist | 240 8th Ave., Aynor, SC 29511 | 2013-10-23 |
1801131719 | Aynor Family Pharmacy, Inc | Pharmacy | 240 8th Avenue, Aynor, SC 29511 | 2012-12-04 |
1750673737 | Shamra O Richardson | Specialist/Technologist | 618 8th Ave, Aynor, SC 29511 | 2011-05-09 |
1467772400 | Conway Hospital Community Services | Clinic/Center | 1213 Elm Street, Aynor, SC 29511 | 2010-06-01 |
1457585713 | Marion Regional Healthcare System | Clinic/Center | 51 11th Avenue, Aynor, SC 29511 | 2009-05-14 |
1013135045 | Jennifer R Brown | Pharmacist | 725 South Main Street, Aynor, SC 29511 | 2007-04-23 |
1255490538 | Bagnals Pharmacy | Pharmacist | 725 S. Main Street, Aynor, SC 29511 | 2006-12-06 |
1205147881 | Doyle Nobles | Occupational Therapy Assistant | 618 8th Ave North, Aynor, SC 29511-0125 | 2010-06-29 |
Find all providers in zip 29511 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467772400 | Conway Hospital Community Services | Clinic/Center | 1213 Elm Street, Aynor, SC 29511 | 2010-06-01 |
1457585713 | Marion Regional Healthcare System | Clinic/Center | 51 11th Avenue, Aynor, SC 29511 | 2009-05-14 |
1164743423 | Marion Physician Services LLC | Clinic/Center | 51 11th Avenue, Aynor, SC 29511-0669 | 2010-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.