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Organization

E.A.CONWAY MEDICAL STAFF GROUP

Active
Parent organization
E.A.CONWAY MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
E.A.CONWAY MEDICAL CENTER
Authorized official
MR. H. ARYON MCGUIRE (HOSPITAL ADMINISTRATOR)
(318) 330-7858
Entity
Organization

Contact information

Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7858
(318) 330-7719
Mailing address
PO BOX 1881, MONROE, LA 71210-8005
(318) 330-7858
(318) 330-7719

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
129
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F8393
BLUECROSS BLUE SHIELD
LA
Enumeration date
12/31/2007
Last updated
12/31/2007
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