Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER
Other names
Clinton Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER
Authorized official
MATTHEW TROUP (CEO/PRESIDENT)
(501) 450-2111
Entity
Organization
Contact information
Practice address
2526 HIGHWAY 65 S STE 201, CLINTON, AR 72031-6678
(501) 745-4914
(501) 745-6374
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126874002
—
AR
05
—
128440729
—
AR
Enumeration date
10/17/2005
Last updated
07/31/2025
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