CONWAY HOSPITAL INC – NPI #1760630966
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

CONWAY HOSPITAL INC is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1760630966 to CONWAY HOSPITAL INC on September 03, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CONWAY HOSPITAL COMMUNITY SERVICES. The NPI data also shows multiple names associated with this provider such as CMC PEDIATRICS CAROLINA FOREST and 3 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Feb 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONWAY HOSPITAL INC below.

NPI Profile for
CONWAY HOSPITAL INC

NPI Number
1760630966
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONWAY HOSPITAL INC
Former Legal Business Name: CONWAY HOSPITAL COMMUNITY SERVICES
Other name(s)
All associated names:
Doing Business As (dba)
CMC PEDIATRICS CAROLINA FOREST
Doing Business As (dba)
CMC PEDIATRICS TOWNE CENTER
Former Legal Business Name
CONWAY HOSPITAL COMMUNITY SERVICES
Other Name
CPG PEDIATRICS CAROLINA FOREST
Primary location
4022 POSTAL WAY
SUITE C
MYRTLE BEACH, SC 29579-3537
Phone: (843) 903-4111 Fax: (843) 903-4242
1 Other location(s):
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone: (843) 236-2700
Fax: (843) 236-2726
Mailing address
300 SINGLETON RIDGE RD
ATTN: PATIENT ACCOUNTING
CONWAY, SC 29526-9142
Phone: (843) 234-6946 Fax: (843) 234-6990
Organization Subpart
No
Authorized Official
MARY ELLEN ARTIOLI
CREDENTIALING SPECIALIST
Phone: (843) 234-6946
Updated
Certification Date
Feb 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CONWAY HOSPITAL INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP4505
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
363LF0000X
- Nurse Practitioner / Family

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.