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CONWAY REGIONAL MEDICAL CENTER INC NPI 1841200417


NPI Information

NPI: 1841200417
Provider Name: CONWAY REGIONAL MEDICAL CENTER INC

Doing Business As: CONWAY MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0901317

Address:
437 DENISON ST
CONWAY, AR
ZIP 72034
Phone: (501) 327-1325
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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 1841200417. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Conway Medical Group.

The provider's business location address is:

437 DENISON ST
CONWAY, AR
ZIP 72034-127
Phone: (501) 327-1325
Fax: (501) 327-1328

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 04D0901317 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/8/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1126827002MEDICAIDARKANSAS

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

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