Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER
Other names
CONWAY REGIONAL COUNSELING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
495 HOGAN LN STE 2, CONWAY, AR 72034-8498
(501) 358-6695
(501) 358-6860
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 358-6695
(501) 358-6860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/11/2010
Last updated
11/09/2023
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