Conway Regional Medical Clinic-pottsville | |
5395 W Ash St Suite 2 Pottsville AR 72858-9170 | |
(479) 880-1118 | |
(479) 219-5013 |
Full Name | Conway Regional Medical Clinic-pottsville |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 5395 W Ash St, Pottsville, 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 Clinic-pottsville Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Conway Regional Medical Clinic-pottsville 5395 W Ash St Suite 2 Pottsville AR 72858-9170 Ph: (479) 880-1118 |
NPI Number | 1811446206 |
---|---|
Provider Enumeration Date | 09/26/2016 |
Last Update Date | 11/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811446206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pottsville Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5395 W Ash St, Pottsville, AR 72858 Phone: 479-880-1118 Fax: 479-880-1120 | |
Souza-townsend Family Medical Clinic, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5150b Sr 247, Pottsville, AR 72858 Phone: 479-567-5680 Fax: 479-567-5679 | |
Wanda Carol Townsend Aprn, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5150b Sr 247, Pottsville, AR 72858 Phone: 479-567-5680 Fax: 479-567-5679 | |
Shannan Souza Aprn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5150a Sr 247, Pottsville, AR 72858 Phone: 479-567-5680 Fax: 479-567-5679 |