340B Drug Pricing Program Database
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DSH420049AA CONWAY HOSPITAL (Active)
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Main Details
Name
CONWAY HOSPITAL
Subdivision Name
CMC Godwin Healing Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420049AA
Medicare Provider Number
420049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/6/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/31/2022
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Conway Hospital
Angela Williford, Chief Administrative Officer
(843) 347-8166
Primary Contact
Conway Hospital Inc dba Conway Medical Center
Brandie Nicole Thompson, Ambulatory Pharmacy Supervisor
(843) 455-8570
Addresses
Street Address
394 Singleton Ridge Road
Conway, SC 29526
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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