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CONWAY REGIONAL MEDICAL CENTER INC NPI 1255958708


NPI Information

NPI: 1255958708
Provider Name: CONWAY REGIONAL MEDICAL CENTER INC

Doing Business As: CONWAY REGIONAL RENAISSANCE WOMEN'S CENTER

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 04D2193110

Address:
2300 ROBINSON AVE
CONWAY, AR
ZIP 72034
Phone: (501) 548-6100
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CONWAY REGIONAL MEDICAL CENTER INC is an obstetrics gynecology in Conway, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CONWAY REGIONAL MEDICAL CENTER INC NPI is 1255958708. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Conway Regional Renaissance Women's Center.

The provider's business location address is:

2300 ROBINSON AVE
CONWAY, AR
ZIP 72034-945
Phone: (501) 548-6100
Fax: (501) 548-6105

The provider's authorized official is William Pack .
The authorized official title is Cfo and has the following contact phone number (501) 450-2112.

The CLIA number assigned to this NPI record is 04D2193110 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/1/2020 and was last updated on 11/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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