Cpg Internal Medicine Myrtle Trace
LBN: Conway Hospital, Inc.
Cpg Internal Medicine Myrtle Trace is an health care organization with primary practice located at 8004 Myrtle Trace Dr , Conway SC 29526-8945. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Conway Hospital, Inc. can be contacted via phone (843) 234-8939, or through Artioli, Mary Ellen via phone (843) 234-6946.
Contact Information
Primary practice address
8004 Myrtle Trace Dr
Conway SC 29526-8945
Phone: (843) 234-8939
Fax: (843) 234-8959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X |
Profile Details
| NPI number | 1548573322 |
|---|---|
| LBN Legal business name | Conway Hospital, Inc. |
| DBA Doing business as | Cpg Internal Medicine Myrtle Trace |
| Authorized official | Artioli, Mary Ellen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2010 |
| Last updated | Sep 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548573322 | NPPES |
| South Carolina | MEDICAID | GP4505 |
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