Organization
CONWAY HOSPITAL COMMUNITY SERVICES
Active
Other names
Horry Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN C RATLEY (PRESIDENT)
(843) 234-5139
Entity
Organization
Contact information
Practice address
1301 CREEL ST, CONWAY, SC 29527-5018
(843) 248-4414
(843) 248-3781
Mailing address
PO BOX 2180, CONWAY, SC 29528-2180
(843) 234-5139
(843) 234-6822
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
10578
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-3825
RHC CMS CCN
SC
Enumeration date
06/03/2010
Last updated
05/10/2016
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