CONWAY REGIONAL MEDICAL CENTER INC. NPI 1275990871

NPI Information

  • NPI: 1275990871
  • Provider Name: CONWAY REGIONAL MEDICAL CENTER, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST.
  • CLIA Number: 04D0664530
  • Address: 1 MEDICAL LN
    CONWAY, AR
    ZIP 72034
  • Phone: (501) 329-2948

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NPI Details

CONWAY REGIONAL MEDICAL CENTER, INC. is a family medicine in Conway, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CONWAY REGIONAL MEDICAL CENTER, INC. NPI is 1275990871. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Conway Regional Medical Clinic-prince St..

The provider's business location address is:

1 MEDICAL LN
CONWAY, AR
ZIP 72034-912
Phone: (501) 329-2948
Fax: (501) 450-7243

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 04D0664530 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2016 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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