| Conway Regional Medical Center, Inc | |
|
2526 Highway 65 S Ste 201 Clinton AR 72031-6678 | |
| (501) 745-4914 | |
| (501) 745-6374 |
| Full Name | Conway Regional Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2526 Highway 65 S Ste 201, Clinton, Arkansas |
| Authorized Official Name and Position | Matthew Troup (CEO/PRESIDENT) |
| Authorized Official Contact | 5014502111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Regional Medical Center, Inc Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Conway Regional Medical Center, Inc 2526 Highway 65 S Ste 201 Clinton AR 72031-6678 Ph: (501) 745-4914 |
| NPI Number | 1265421861 |
|---|---|
| Provider Enumeration Date | 10/17/2005 |
| Last Update Date | 07/31/2025 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20051107000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265421861 | NPI | - | NPPES |
| 126874002 | Medicaid | AR | |
| 128440729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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