Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER INC
Other names
Conway Regional HomeCare Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER INC
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
2843 PRINCE ST, CONWAY, AR 72034-3637
(501) 329-9377
(501) 329-0724
Mailing address
2843 PRINCE ST, CONWAY, AR 72034-3637
(501) 329-9377
(501) 329-0724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4068
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047083
COMMERCIAL INSURANCES
—
05
—
102221514
—
AR
01
—
17083
BLUE CROSS
—
01
—
5000028
UNITED HEALTHCARE
—
Enumeration date
07/18/2006
Last updated
09/04/2024
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