| Conway Regional Medical Center Inc | |
|
2200 Ada Ave Ste 302a Conway AR 72034-4985 | |
| (501) 932-0352 | |
| (501) 932-0354 |
| Full Name | Conway Regional Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2200 Ada Ave Ste 302a, Conway, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Regional Medical Center Inc Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Conway Regional Medical Center Inc 2200 Ada Ave Ste 302a Conway AR 72034-4985 Ph: (501) 932-0352 |
| NPI Number | 1104642180 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104642180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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