Organization
CONWAY COMMUNITY SERVICES
Active
Other names
Baptist Health Medical Center - Conway Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
1555 EXCHANGE AVE, CONWAY, AR 72032-7824
(501) 202-2636
Mailing address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
AR5248
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790147106
BCBS
AR
Enumeration date
03/24/2016
Last updated
03/30/2021
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