CONWAY REGIONAL MEDICAL CENTER INC. NPI 1811446206

NPI Information

NPI: 1811446206
Provider Name: CONWAY REGIONAL MEDICAL CENTER INC.

Doing Business As: CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE

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

Specialization: Rural Health

Address:
5395 W ASH ST
SUITE 2
POTTSVILLE, AR
ZIP 72858
Phone: (479) 880-1118
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CONWAY REGIONAL MEDICAL CENTER INC. is a rural health clinic center in Pottsville, AR. CONWAY REGIONAL MEDICAL CENTER INC. NPI is 1811446206. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Conway Regional Medical Clinic-pottsville.

The provider's business location address is:

5395 W ASH ST
SUITE 2
POTTSVILLE, AR
ZIP 72858-170
Phone: (479) 880-1118
Fax: (479) 219-5013

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 enumeration date for this NPI number is 9/26/2016 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
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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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