Organization
CONWAY REGIONAL MEDICAL CENTER INC.
Active
Other names
Conway Regional Medical Clinic-Pottsville
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
5395 W ASH ST, SUITE 2, POTTSVILLE, AR 72858-9170
(479) 880-1118
(479) 219-5013
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
11/09/2023
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