Organization Active NPI

Conway Hospital Community Services

  • Rural Health Clinic/Center
  • Conway, SC
National Provider Identifier
1306166012
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
10578 Issued in SC
Legal business name
CONWAY HOSPITAL COMMUNITY SERVICES
Practice address
1301 Creel St
Conway, SC 29527-5018
Phone
(843) 248-4414
Fax
(843) 248-3781
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Warren C Ratley
Title
President
Phone
(843) 234-5139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 10578 SC Primary

Addresses

Primary practice location

1301 Creel St
Conway, SC 29527-5018

Mailing address

PO Box 2180
Conway, SC 29528-2180
Phone (843) 234-5139

Other identifiers 1

IdentifierTypeStateIssuer
42-3825OtherSCRHC CMS CCN

Other names 1

  • Horry Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conway Hospital Community Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1306166012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2180",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295282180",
            "telephone_number": "843-234-5139",
            "fax_number": "843-234-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CREEL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275018",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "RATLEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-234-5139"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "10578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC CMS CCN",
            "identifier": "42-3825",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horry Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.