# CONWAY REGIONAL MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Conway Regional Neonatal Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154138097
- **Authorized official:** MOLLIE PARKS (CFO)
- **Authorized official phone:** (501) 428-5854

## Contact information

- **Practice address:** 2302 COLLEGE AVE STE 200, CONWAY, AR 72034-6297
- **Practice address phone:** (501) 513-5385
- **Practice address fax:** (501) 513-5257
- **Mailing address:** PO BOX 9662, CONWAY, AR 72033-9662
- **Mailing address phone:** (501) 852-1363
- **Mailing address fax:** (501) 852-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2024
- **Last updated:** 05/05/2026
