# UNIVERSITY OF CENTRAL ARKANSAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCA Student Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912543240
- **Authorized official:** CHAD LAIRAMORE (ASSOCIATE DEAN)
- **Authorized official phone:** (501) 450-3136

## Contact information

- **Practice address:** 201 DONAGHEY AVE, CONWAY, AR 72035-5001
- **Practice address phone:** (501) 450-3136
- **Practice address fax:** (501) 450-3370
- **Mailing address:** 201 DONAGHEY AVE UCA STUDENT HEALTH CENTER, CONWAY, AR 72035-5001
- **Mailing address phone:** (501) 450-3136
- **Mailing address fax:** (501) 450-3370

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 03/21/2023