# CONWAY REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Conway Regional After Hours Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851796676
- **Authorized official:** MR. WILLIAM PACK (CFO)
- **Authorized official phone:** (501) 450-2112

## Contact information

- **Practice address:** 437 DENISON ST, SUITE 2, CONWAY, AR 72034-6127
- **Practice address phone:** (501) 504-2330
- **Practice address fax:** (501) 504-2061
- **Mailing address:** 437 DENISON ST, SUITE 2, CONWAY, AR 72034-6127
- **Mailing address phone:** (501) 504-2330
- **Mailing address fax:** (501) 504-2061

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 11/08/2023