Organization
CONWAY REGIONAL REHABILITATION HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE ROSE (CHIEF FINANCIAL OFFICER)
(501) 450-2112
Entity
Organization
Contact information
Practice address
2210 ROBINSON AVE, CONWAY, AR 72034-4943
(501) 932-3500
(501) 932-3520
Mailing address
2210 ROBINSON AVE, CONWAY, AR 72034-4943
(501) 932-3500
(501) 932-3520
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
4261
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0607495
AETNA
—
01
—
10015
CIGNA HEALTHCARE OF AR
—
01
—
107347
HEALTHLINK-HMO
—
01
—
1110762
UNITED HEALTHCARE
—
01
—
124633
UNITED HEALTHCARE
—
01
—
13033
BLUE CROSS
—
01
—
5000028
AARP HEALTHCARE-UHC
—
01
—
71024973530
QUALCHOICE
—
01
—
71024973533
QUALCHOICE
—
Enumeration date
07/13/2006
Last updated
08/22/2020
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