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Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Other names
GREENBRIER FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
110 N BROADVIEW, GREENBRIER, AR 72058-9475
(501) 679-3551
(501) 679-4536
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/02/2006
Last updated
11/09/2023
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