| University Health Conway | |
|
4864 Jackson St Monroe LA 71202-6400 | |
| (318) 330-7000 | |
| (318) 330-7591 |
| Full Name | University Health Conway |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4864 Jackson St, Monroe, Louisiana |
| Authorized Official Name and Position | Stephen Skrivanos (CHAIRMAN OF BRF BOARD) |
| Authorized Official Contact | 3183307000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Health Conway 4864 Jackson St Monroe LA 71202-6400 Ph: (318) 330-7000 | University Health Conway 4864 Jackson St Monroe LA 71202-6400 Ph: (318) 330-7000 |
| NPI Number | 1255761151 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 11/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255761151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 129 (Louisiana) | Primary |
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