CONWAY HOSPITAL COMMUNITY SERVICES


Address: 124 Professional Park Dr, Suite A, Conway, SC 29526-9260
Phone: 8433479500

CONWAY HOSPITAL COMMUNITY SERVICES (NPI# 1467698076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467698076
Entity Type Organization
Organization Name CONWAY HOSPITAL COMMUNITY SERVICES
Other Organization Name CPG FAMILY MEDICINE AT SINGLETON RIDGE
Practice Address 124 Professional Park Dr
Suite A
Conway
SC 29526-9260
Mailing Address 300 Singleton Ridge Rd
Attention Patient Accounting
Conway
SC 29526-9142
Practice Telephone 8433479500
Practice Fax Number 8433479595
Mailing Telephone 8432346946
Mailing Fax Number 8432348958
Enumeration Date 2009-01-02
Last Update Date 2020-03-02
Authorized Official Name BRET BARR (CEO)
Authorized Official Telephone 8433478114
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2336 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC GP4505 05

Other Provider/Organization Names

Other Name Type Code
CPG Family Medicine at Singleton Ridge Doing Business As Name - Organization

Other Provider IDs and Locations

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
1821335068 Conway Hospital Community Services Family Medicine 51 11th Ave, Aynor, SC 29511-3249 2013-01-08
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
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

Office Location

Street Address 124 PROFESSIONAL PARK DR
SUITE A
City CONWAY
State SC
Zip Code 29526-9260

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508238015 Instride Foot and Ankle Specialists, Pllc Podiatrist 124 Professional Park Dr, Conway, SC 29526-9260 2015-10-23
1558701128 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 124 Professional Park Dr, Suite A, Conway, SC 29526-9260 2013-06-27
1588800890 Amanda J Bruce Nurse Practitioner 124 Professional Park Dr, Ste A, Conway, SC 29526-9260 2008-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
Find all providers in zip 29526

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023617594 Mckenzie Lauren Cotton Nurse Practitioner 1065 Skyline Dr, Conway, AR 72032-3530 2020-10-25
1316566607 Shannon Busby Nurse Practitioner 1505 Winterbrook Dr, Conway, AR 72034-3564 2020-04-16
1538798087 Glenda Darlene Gore Nurse Practitioner 17 Kali Ct, Conway, AR 72032-9477 2020-04-06
1265071427 Dana Aysha Niederhauser Nurse Practitioner 1250 Littlewood Cv, Conway, AR 72032-8986 2020-01-04
1285287680 Joy Griffith Nurse Practitioner 2907 Percy Cir, Conway, AR 72034-5508 2019-07-24
1366094260 Kerry Kathryn Lewis Nurse Practitioner 1910 Royal Dr, Conway, AR 72034-7346 2019-07-10
1487113148 Laura B Kelly Nurse Practitioner 2300 Linda Dr, Conway, AR 72032-8999 2019-03-12
1780141069 Ashleigh Lynn Kinon Nurse Practitioner 2065 Woodlawn Dr, Conway, SC 29526-7703 2019-02-22
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
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Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

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.

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