CONWAY REGIONAL MEDICAL CENTER INC NPI 1730402249

NPI Information

NPI: 1730402249
Provider Name: CONWAY REGIONAL MEDICAL CENTER, INC

Doing Business As: CONWAY REGIONAL COUNSELING CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
495 HOGAN LN STE 2
CONWAY, AR
ZIP 72034
Phone: (501) 358-6695
Get Directions

CONWAY REGIONAL MEDICAL CENTER, INC is a mental health (including community mental health center) clinic center in Conway, AR. CONWAY REGIONAL MEDICAL CENTER, INC NPI is 1730402249. The provider is registered as an organization entity type.
The provider Is Doing Business As Conway Regional Counseling Center.

The provider's business location address is:

495 HOGAN LN STE 2
CONWAY, AR
ZIP 72034-498
Phone: (501) 358-6695
Fax: (501) 358-6860

The provider's authorized official is Troy Brooks .
The authorized official title is Chief Financial Office and has the following contact phone number (501) 450-2112.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 9/30/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	5000028	OTHER		AARP HEALTHCARE-UHC
2	0607495	OTHER		AETNA
3	10029	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD
4	124633	OTHER		UNITED HEALTHCARE
5	107347	OTHER		HEALTHLINK-HMO
6	1110762	OTHER		UNITED HEALTHCARE
7	10015	OTHER		CIGNA HEALTHCARE OF AR

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »