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DSH420049AF CONWAY HOSPITAL (Active)
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Main Details
Name
CONWAY HOSPITAL
Subdivision Name
CMC Primary Care - Little River
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420049AF
Medicare Provider Number
420049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/11/2023
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
4237 River Hills Drive
Suite 130
Little River, SC 29566
Billing Address
Conway Medical Center
300 Singleton Ridge Road
Conway, SC 29526
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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