NPIMap

Conway Hospital, Inc.

Organization Active NPI Internal Medicine Physician · Little River, SC

NPI 1558025783 · NPPES record last updated Apr 7, 2025

Key facts

NPI
1558025783
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
CONWAY HOSPITAL, INC.
Practice address
4237 River Hills Dr Ste 130
Little River, SC 29566-6444
Phone
(843) 234-8675
Fax
(843) 234-8681
NPI assigned
Oct 25, 2021
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

Corporate family (same tax ID) 33

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

View all 33

Practitioners 121

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

View all 121

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2240642CMC Primary Care Little River
4237 River Hills Drive, Suite 130, Little River, SC 29566		Certificate of waiverOct 20, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031201000111 SC Part B Supplier - Clinic/Group Practice 7113839606 Receives reassigned benefits from 148 practitioners
41 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conway, SC; Surfside Beach, SC; Myrtle Beach, SC; Murrells Inlet, SC; Little River, SC; Florence, SC

National Provider Directory

Tax ID family
Conway Hospital Inc (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

4237 River Hills Dr Ste 130
Little River, SC 29566-6444

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
PG0700MedicaidSC

Other names

  • CMC Primary Care Little River Doing business as

Other providers in Little River, SC

All providers in Little River, SC · Internal Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.