CONWAY REGIONAL MEDICAL CENTER INC NPI 1942713987

NPI Information

CONWAY REGIONAL MEDICAL CENTER, INC is a pain clinic center in Conway, AR. CONWAY REGIONAL MEDICAL CENTER, INC NPI is 1942713987. The provider is registered as an organization entity type.
The provider Is Doing Business As Conway Regional Advanced Pain Management Center.

The provider's business location address is:

525 WESTERN AVE STE 304
CONWAY, AR
ZIP 72034-981
Phone: (501) 358-6560
Fax: (877) 653-3202

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

The CLIA number assigned to this NPI record is 04D2147036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 12/30/2019.

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:

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.