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CONWAY COMMUNITY SERVICES NPI 1275084188


NPI Information

NPI: 1275084188
Provider Name: CONWAY COMMUNITY SERVICES

Doing Business As: CCS PHYSICIAN CLINIC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1555 EXCHANGE AVE
CONWAY, AR
ZIP 72032
Phone: (501) 585-2000
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CONWAY COMMUNITY SERVICES is a diagnostic radiology radiology in Conway, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CONWAY COMMUNITY SERVICES NPI is 1275084188. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ccs Physician Clinic.

The provider's business location address is:

1555 EXCHANGE AVE
CONWAY, AR
ZIP 72032-824
Phone: (501) 585-2000

The provider's authorized official is Troy Wells .
The authorized official title is President and has the following contact phone number (501) 202-2080.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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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