CONWAY REGIONAL MEDICAL CENTER INC NPI 1548362437

NPI Information

NPI: 1548362437
Provider Name: CONWAY REGIONAL MEDICAL CENTER INC

Doing Business As: GREENBRIER FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
110 N BROADVIEW
GREENBRIER, AR
ZIP 72058
Phone: (501) 679-3551
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CONWAY REGIONAL MEDICAL CENTER INC is a rural health clinic center in Greenbrier, AR. CONWAY REGIONAL MEDICAL CENTER INC NPI is 1548362437. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenbrier Family Medicine.

The provider's business location address is:

110 N BROADVIEW
GREENBRIER, AR
ZIP 72058-475
Phone: (501) 679-3551
Fax: (501) 679-4536

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 04D0697873 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/2/2006 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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	128443729	MEDICAID	ARKANSAS
2	126870002	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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