| Conway Family Clinic, Inc. | |
| 
					301 S. Newport Conway MO 65632  | |
| (417) 589-2050 | |
| (417) 589-4046 | 
| Full Name | Conway Family Clinic, Inc. | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 301 S. Newport, Conway, Missouri | 
| Authorized Official Name and Position | Stacey J. Wood (ADMINISTRATIVE ASSISTANCE) | 
| Authorized Official Contact | 4175892050 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Conway Family Clinic, Inc. Po Box 9 Conway MO 65632-0009 Ph: (417) 589-2050  | Conway Family Clinic, Inc. 301 S. Newport Conway MO 65632 Ph: (417) 589-2050  | 
| NPI Number | 1144416330 | 
|---|---|
| Provider Enumeration Date | 09/20/2007 | 
| Last Update Date | 09/20/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144416330 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Missouri) | Primary | 
Conway Family Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 South Newport Avenue, Conway, MO 65632 Phone: 417-589-2050 Fax: 417-589-4046  |