| Conway Regional Medical Center Inc | |
|
525 Western Ave Ste 305b Conway AR 72034-4982 | |
| (501) 205-4990 | |
| (501) 205-4993 |
| Full Name | Conway Regional Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 Western Ave Ste 305b, Conway, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| 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 525 Western Ave Ste 305b Conway AR 72034-4982 Ph: (501) 205-4990 |
| NPI Number | 1255095139 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20220224001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255095139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Strack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845814 PECOS PAC ID: 3476785254 Enrollment ID: I20140409001485 |
| Provider Name | Hooman Motahari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073967048 PECOS PAC ID: 7315272572 Enrollment ID: I20210920001946 |
| Provider Name | Maria Javaid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679886618 PECOS PAC ID: 8921492521 Enrollment ID: I20220224001677 |
Access Family Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Winterbrook Dr, Conway, AR 72034 Phone: 479-968-7930 | |
B A Scroggins, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 Dave Ward Dr Ste 101, Conway, AR 72034 Phone: 501-269-5105 | |
Conway Regional Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 College Ave Ste 101, Conway, AR 72034 Phone: 501-852-1363 Fax: 501-852-1364 | |
Advanced O & P Techniques, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Donaghey Ave, Conway, AR 72034 Phone: 501-548-6288 Fax: 501-513-1890 | |
Hull Family Eyecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 S Amity Rd, Conway, AR 72032 Phone: 479-856-9344 | |
Roy E Denton Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Robinson Ave, Conway, AR 72034 Phone: 501-932-3500 Fax: 501-932-3520 | |
Karl H. Landberg, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1375 Highway 64 W, Conway, AR 72032 Phone: 501-336-9620 Fax: 501-336-0018 |