NPIMap

Organization Active NPI

Conway Hospital Community Services

Doing business as Aynor Family Medicine

  • Rural Health Clinic/Center
  • Aynor, SC
National Provider Identifier
1467772400
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
828 Issued in SC
Legal business name
CONWAY HOSPITAL COMMUNITY SERVICES
Doing business as
Aynor Family Medicine
Aynor Family Practice
Practice address
1213 Elm Street
Aynor, SC 29511
Phone
(843) 358-5806
Fax
(843) 358-9205
NPI assigned
Jun 1, 2010
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Mary Ellen Artioli
Title
Credentialing Specialist
Phone
(843) 234-6946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 828 SC Primary

Addresses

Primary practice location

1213 Elm Street
Aynor, SC 29511

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other identifiers 1

IdentifierTypeStateIssuer
RHC194MedicaidSC

Other names 2

  • Aynor Family Medicine Doing business as
  • Aynor Family Practice 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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1467772400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 ELM STREET",
            "city": "AYNOR",
            "state": "SC",
            "postal_code": "29511",
            "telephone_number": "843-358-5806",
            "fax_number": "843-358-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ARTIOLI",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "843-234-6946"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC194",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aynor Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aynor Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aynor Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aynor, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.