Organization
CONWAY REGIONAL MEDICAL CENTER, INC.
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER, INC.
Other names
Mayflower Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER, INC.
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
606 HIGHWAY 365, MAYFLOWER, AR 72106-9595
(501) 470-7413
(501) 470-7415
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127018002
—
AR
Enumeration date
10/06/2005
Last updated
11/09/2023
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