| Community Medical Clinic | |
|
2920 Adam St Conway AR 72034-5502 | |
| (501) 358-9942 | |
| (501) 358-4901 |
| Full Name | Community Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2920 Adam St, Conway, Arkansas |
| Authorized Official Name and Position | Wesley Frank Ward (OWNER) |
| Authorized Official Contact | 5015058349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Clinic 2920 Adam St Conway AR 72034-5502 Ph: (501) 358-9942 | Community Medical Clinic 2920 Adam St Conway AR 72034-5502 Ph: (501) 358-9942 |
| NPI Number | 1225317159 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 02/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225317159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AO2979 (Arkansas) | Primary |
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