CONWAY REGIONAL MEDICAL CENTER INC (NPI# 1497770424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497770424 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER INC |
| Other Organization Name | CONWAY REGIONAL MEDICAL CENTER INC |
| Practice Address |
2302 College Ave Conway AR 72034-6297 |
| Practice Telephone | 5013293831 |
| Practice Fax Number | 5014502363 |
| Mailing Telephone | 5013293831 |
| Mailing Fax Number | 5014502363 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | MR. STEVE ROSE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5014502112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2657 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 102178105 | 05 | |
| UNITED HEALTHCAE | 124633 | 01 | |
| AETNA | 0607495 | 01 | |
| AR | BLUE CROSS BLUE SHIELD | 10029 | 01 |
| HEALTHLINK-HMO | 107347 | 01 | |
| AR | BREASTCARE | 770006305 | 01 |
| AR | 102222002 | 05 | |
| UNITED HEALTHCARE | 1110762 | 01 | |
| AARP HEALTHCARE-UHC | 5000028 | 01 | |
| CIGNA HEALTHCARE OF AR | 10015 | 01 |
| Other Name | Type Code |
|---|---|
| Conway Regional Medical Center Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375639 | Conway Regional Medical Center Inc | Clinic/Center | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2006-11-21 |
| 1548362437 | Conway Regional Medical Center Inc | Clinic/Center | 110 N Broadview, Greenbrier, AR 72058-9475 | 2006-09-02 |
| 1154340552 | Conway Regional Medical Center Inc | Home Health | 2134 Robinson Ave, Conway, AR 72034-4941 | 2006-07-18 |
| 1255958708 | Conway Regional Medical Center Inc | Obstetrics & Gynecology | 2300 Robinson Ave, Conway, AR 72034-4945 | 2020-07-01 |
| 1932663879 | Conway Regional Medical Center Inc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2019-01-24 |
| 1609123017 | Conway Regional Medical Center Inc | Clinical Medical Laboratory | 2302 College Ave, Conway, AR 72034 | 2012-08-06 |
| 1063798858 | Conway Regional Medical Center Inc | Internal Medicine | 1122 Main St, Suite 7, Vilonia, AR 72173-9524 | 2011-10-25 |
| 1417024662 | Conway Regional Medical Center Inc | General Acute Care Hospital | 2302 College Ave, Conway, AR 72034-6297 | 2006-11-30 |
| 1841200417 | Conway Regional Medical Center Inc | Family Medicine | 437 Denison St, Conway, AR 72034-6127 | 2006-08-08 |
| 1376562678 | Conway Regional Medical Center Inc | Psychiatric Unit | 2302 College Ave, Conway, AR 72034-6297 | 2006-07-18 |
| Street Address |
2302 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106505 | Jesse E Clanton | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-09-30 |
| 1912529090 | Clayton Preston | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-12 |
| 1922629666 | Dylan Joshua Cruz | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-05 |
| 1497376453 | Ross Lenzen | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-30 |
| 1639790983 | Olufadejimi Atanda Kareem | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-28 |
| 1346877933 | Peggy Ann Schultz | Registered Nurse | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-24 |
| 1578198594 | Anni Julliett Fuenmayor | Nutritionist | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-10 |
| 1871139394 | Sarah C Atkins | Nurse Practitioner | 2302 College Ave, Conway, AR 72034-6297 | 2019-11-19 |
| 1538714761 | Brooke Alexander Miller | Specialist/Technologist | 2302 College Ave, Conway, AR 72034-6297 | 2019-08-05 |
| 1083279533 | Faulkner Emergency Group, Pllc | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005140 | Conway Community Services | General Acute Care Hospital | 1555 Exchange Avenue, Conway, AR 72032 | 2015-10-16 |
| 1235666033 | Conway Regional Health System | General Acute Care Hospital | 2302 College Ave, Conway, AR 72034-6297 | 2017-05-11 |
| 1417024662 | Conway Regional Medical Center Inc | General Acute Care Hospital | 2302 College Ave, Conway, AR 72034-6297 | 2006-11-30 |
| 1134172000 | Conway Hospital Inc | General Acute Care Hospital | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1770959017 | Tennessee Valley Health Care System | General Acute Care Hospital | 18 Point West Cv, Little Rock, AR 72211-3371 | 2015-08-20 |
| 1629455662 | Andrea Perkins | General Acute Care Hospital | 118 Essex St, Hot Springs, AR 71913-5845 | 2015-04-29 |
| 1558748657 | Marie Lauren Hatfield | General Acute Care Hospital | 1753 College Ave, Suite 100, Fayetteville, AR 72703 | 2015-04-28 |
| 1942624465 | Cheryl Friday | General Acute Care Hospital | 204 River Ridge Pt, Little Rock, AR 72227-1500 | 2014-02-05 |
| 1356773493 | Arkansas Continued Care Hospital of Jonesboro, LLC | General Acute Care Hospital | 3024 Red Wolf Blvd Ste 1, Jonesboro, AR 72401-7415 | 2013-07-31 |
| 1558612309 | Emilee Erin Phillips | General Acute Care Hospital | 3401 W Markham St., Little Rock, AR 72205 | 2012-09-19 |
| 1144590522 | St. Vincent Infirmary Medical Center | General Acute Care Hospital | 10100 Kanis Road, Little Rock, AR 72205 | 2012-01-03 |
| 1316180748 | Mississippi County Hospital System | General Acute Care Hospital | 1520 North Division, Blytheville, AR 72315-1448 | 2009-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.