# CONWAY REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONWAY REGIONAL MEDICAL CENTER
- **Other names:** Clinton Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265421861
- **Legal business name:** CONWAY REGIONAL MEDICAL CENTER
- **Authorized official:** MATTHEW TROUP (CEO/PRESIDENT)
- **Authorized official phone:** (501) 450-2111

## Contact information

- **Practice address:** 2526 HIGHWAY 65 S STE 201, CLINTON, AR 72031-6678
- **Practice address phone:** (501) 745-4914
- **Practice address fax:** (501) 745-6374
- **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 |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 07/31/2025