Organization
CONWAY REGIONAL MEDICAL CENTER,INC,
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER,INC
Other names
Conway Surgery Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER,INC
Authorized official
MRS. ANGIE HUSELTON (DIRECTOR OF PHYSICIAN SERVICES)
(501) 450-2491
Entity
Organization
Contact information
Practice address
525 WESTERN AVE, SUITE 301, CONWAY, AR 72034-4967
(501) 450-2491
(501) 450-2283
Mailing address
525 WESTERN AVE, SUITE 301, CONWAY, AR 72034-4967
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
03/10/2011
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