# CONWAY REGIONAL MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Conway Regional Mobile Health Unit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043183544
- **Authorized official:** MATTHEW TROUP (CEO/PRESIDENT)
- **Authorized official phone:** (501) 450-2111

## Contact information

- **Practice address:** 2302 COLLEGE AVE STE 101, CONWAY, AR 72034-6297
- **Practice address phone:** (501) 852-1363
- **Practice address fax:** (501) 852-1364
- **Mailing address:** PO BOX 9662, CONWAY, AR 72033-9662
- **Mailing address phone:** (501) 428-5854
- **Mailing address fax:** (501) 852-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | — | — |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 09/29/2025