# CONWAY REGIONAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONWAY REGIONAL MEDICAL CENTER, INC.
- **Other names:** Mayflower Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851389605
- **Legal business name:** CONWAY REGIONAL MEDICAL CENTER, INC.
- **Authorized official:** WILLIAM PACK (CFO)
- **Authorized official phone:** (501) 450-2112

## Contact information

- **Practice address:** 606 HIGHWAY 365, MAYFLOWER, AR 72106-9595
- **Practice address phone:** (501) 470-7413
- **Practice address fax:** (501) 470-7415
- **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 |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 11/09/2023