Organization
CONWAY FAMILY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE TWYMAN APRN, BC, FNP (PRESIDENT)
(417) 589-2050
Entity
Organization
Contact information
Practice address
301 SOUTH NEWPORT AVENUE, CONWAY, MO 65632-0009
(417) 589-2050
(417) 589-4046
Mailing address
301 S NEWPORT AVE, PO BOX 9, CONWAY, MO 65632-8322
(417) 589-2050
(417) 589-4046
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598899201
—
MO
Enumeration date
12/22/2005
Last updated
12/30/2009
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