# CONWAY REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Conway Regional Hendrix Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710513957
- **Authorized official:** WILLIAM PACK (CFO)
- **Authorized official phone:** (501) 450-2112

## Contact information

- **Practice address:** 1700 ALTUS ST STE 110, CONWAY, AR 72032-4299
- **Practice address phone:** (501) 852-1366
- **Practice address fax:** (501) 852-1367
- **Mailing address:** 1700 ALTUS ST STE 110, CONWAY, AR 72032-4299
- **Mailing address phone:** (501) 852-1366
- **Mailing address fax:** (501) 852-1367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2020
- **Last updated:** 11/09/2023