| Conway Regional Medical Clinic-vilonia | |
|
1159 Main St Vilonia AR 72173-9525 | |
| (501) 796-8484 | |
| (501) 796-2453 |
| Full Name | Conway Regional Medical Clinic-vilonia |
|---|---|
| Speciality | Clinic/Center |
| Location | 1159 Main St, Vilonia, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Regional Medical Clinic-vilonia Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Conway Regional Medical Clinic-vilonia 1159 Main St Vilonia AR 72173-9525 Ph: (501) 796-8484 |
| NPI Number | 1063798858 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20170109002869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063798858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E5175 (Arkansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Himmler Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1159 Main St, Vilonia, AR 72173 Phone: 501-796-8484 Fax: 501-796-2453 | |
Arcare 87 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1127 Main St, Vilonia, AR 72173 Phone: 017-966-7405 Fax: 501-796-6744 |