Organization · Type 2 NPI

Conway Regional Medical Center Inc.

Rural Health Clinic/Center · Pottsville, AR

NPI number 1811446206 Active

Practice location

5395 W Ash St, Suite 2
Pottsville, AR 72858-9170

Call (479) 880-1118 Map

Fax (479) 219-5013

Mailing address

PO Box 9662
Conway, AR 72033-9662

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

4 other providers at this address

Other rural health clinic/center providers in Pottsville

Russell B Allison MD PARural Health Clinic/Center Pottsville, AR NPI 1114277993

See all in Pottsville →

NPI record

NPI: 1811446206
Entity type: Organization (Type 2)
Issued: Sep 26, 2016
Last updated: Nov 9, 2023
Status: Active

Other names

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Conway Regional Medical Clinic-Pottsville · doing business as
Conway Regional Medical Clinic-Pottsville · doing business as

Authorized official

William Pack
CFO
(501) 450-2112

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811446206

Conway Regional Medical Center Inc.'s National Provider Identifier is 1811446206, issued on Sep 26, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Pottsville, AR. The record was last updated on Nov 9, 2023.