Cpg Family Medicine At Singleton Ridge

LBN: Conway Hospital Community Services
Cpg Family Medicine At Singleton Ridge is an health care organization with primary practice located at 124 Professional Park Dr Suite A, Conway SC 29526-9260. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Conway Hospital Community Services can be contacted via phone (843) 347-9500, or through Barr, Bret via phone (843) 347-8114.

Contact Information

Primary practice address
124 Professional Park Dr Suite A Conway SC 29526-9260
Phone: (843) 347-9500
Fax: (843) 347-9595
Website:
Map and Directions
Authorized official contact:
Name: Barr, Bret
Phone: (843) 347-8114

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2336 South Carolina

Profile Details

NPI number 1467698076
LBN Legal business name Conway Hospital Community Services
DBA Doing business as Cpg Family Medicine At Singleton Ridge
Authorized official Barr, Bret
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2009
Last updated Mar 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467698076 NPPES
South Carolina MEDICAID GP4505

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