Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Other names
Conway Regional Medical Clinic-Vilonia
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
1159 MAIN ST, VILONIA, AR 72173-9525
(501) 796-8484
(501) 796-2453
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E5175
AR
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
11/09/2023
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