Organization Name: | CONWAY REGIONAL MEDICAL CENTER INC |
NPI Number: | 1548362437 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE COTHRAN (BUSINESS OFFICE MANAGER) |
Mailing Address: | 110 N Broadview Greenbrier |
State: | AR US |
Postal Code: | 720589475 |
Phone Number: | 5016793551 |
Fax Number: | 5016794536 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |