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DSH420049Y CONWAY HOSPITAL (Terminated)
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Main Details
Name
CONWAY HOSPITAL
Subdivision Name
CMC-Primary Care Myrtle Trace
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420049Y
Medicare Provider Number
420049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/22/2021
Last Recertification Date
8/18/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Conway Hospital
Angela Williford, Chief Administrative Officer
(843) 347-8166
Primary Contact
Conway Hospital Inc dba Conway Medical Center
Andrew Wright, Director of Pharmacy
(843) 347-8142
Addresses
Street Address
8004 Myrtle Trace Drive
Conway, SC 29526
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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