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CONWAY DIGESTIVE HEALTH CENTER INC. NPI 1790886463


NPI Information

NPI: 1790886463
Provider Name: CONWAY DIGESTIVE HEALTH CENTER, INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
2200 ADA AVE
SUITE 201
CONWAY, AR
ZIP 72034
Phone: (501) 932-0282
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CONWAY DIGESTIVE HEALTH CENTER, INC. is a gastroenterology internal medicine in Conway, AR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. CONWAY DIGESTIVE HEALTH CENTER, INC. NPI is 1790886463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 ADA AVE
SUITE 201
CONWAY, AR
ZIP 72034-985
Phone: (501) 932-0282
Fax: (501) 932-0284

The provider's authorized official is Frank Martin Moix .
The authorized official title is Principal and has the following contact phone number (501) 932-0282.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 3/29/2011.


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
1207RG0100XInternal MedicineGastroenterologyE1456ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15M181MEDICARE ID-TYPE UNSPECIFIEDARKANSASGROUP MEDICARE NUMBER
2155226002MEDICAIDARKANSAS

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: 11/14/2023

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