NPIMap

Conway Hospital Emergency Professional Services

Organization Active NPI Emergency Medicine Physician · Conway, SC

NPI 1487844510 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1487844510
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES
Practice address
300 Singleton Ridge Road
Conway, SC 29526-9142
Phone
(843) 347-7111
NPI assigned
Jul 25, 2007
Organization subpart
No

Authorized official

Name
Brian J Argo
Title
Ceo
Phone
(843) 347-8114

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 60

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070924000348 SC Part B Supplier - Clinic/Group Practice 2163516980 Receives reassigned benefits from 58 practitioners
Practice locations: Conway, SC

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207P00000X SC Yes

Addresses

Primary practice location

300 Singleton Ridge Road
Conway, SC 29526-9142

Mailing address

PO Box 744247
Atlanta, GA 30374-4247
Phone (843) 347-7111

Other names

  • Conway Hospital EPS Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2024.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1487844510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744247",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744247",
            "telephone_number": "843-347-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE ROAD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "ARGO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-347-8114"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Hospital EPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conway, SC

All providers in Conway, SC · Emergency Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.