CONWAY REGIONAL MEDICAL CENTER, INC. (NPI# 1851389605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851389605 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | MAYFLOWER MEDICAL CLINIC |
| Practice Address |
606 Highway 365 Mayflower AR 72106-9595 |
| Practice Telephone | 5014707413 |
| Practice Fax Number | 5014707415 |
| Mailing Telephone | 5014707413 |
| Mailing Fax Number | 5014707415 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MS. STEPHANIE COTHRAN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5017452122 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 128442729 | 05 | |
| AR | 127018002 | 05 |
| Other Name | Type Code |
|---|---|
| Mayflower Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376025544 | Conway Regional Medical Center, Inc. | Internal Medicine | 2200 Ada Ave Ste 203, Conway, AR 72034-4984 | 2018-09-04 |
| 1730601451 | Conway Regional Medical Center, Inc. | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034-4981 | 2017-07-14 |
| 1255879656 | Conway Regional Medical Center, Inc. | Psychiatry & Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4985 | 2017-02-06 |
| 1538615927 | Conway Regional Medical Center, Inc. | Clinic/Center | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-26 |
| 1275990871 | Conway Regional Medical Center, Inc. | Family Medicine | 1 Medical Ln, Conway, AR 72034-4912 | 2016-01-27 |
| 1396913976 | Conway Regional Medical Center, Inc. | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2008-02-15 |
| Street Address |
606 HIGHWAY 365 |
| City | MAYFLOWER |
| State | AR |
| Zip Code | 72106-9595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1285903955 | Melissa Wallace | Physical Therapist | 582 Hwy 365 Ste 3, Mayflower, AR 72106 | 2011-12-23 |
| 1790053502 | Freds Stores of Tennessee Inc. | Pharmacy | 652 Hwy 365, Mayflower, AR 72106 | 2011-12-07 |
| 1922136746 | My House, Inc. | Case Management | #760 Highway 365 South, Mayflower, AR 72106 | 2007-03-01 |
| 1407914583 | Mayflower School | Local Education Agency (LEA) | 18 Eagle Cir., Mayflower, AR 72106 | 2006-12-04 |
| 1407890577 | Erin R. Lewis | Physical Therapist | 4 Grove Street, Mayflower, AR 72106 | 2006-06-16 |
| 1790867257 | Mayflower Family Medicine | Clinic/Center | 587 Highway 365, Mayflower, AR 72106 | 2006-10-20 |
| 1033219753 | Shelly M Clifton | Nurse Practitioner | 587 Highway 365, Mayflower, AR 72106 | 2006-09-23 |
| 1902235302 | Jami Lynn Faulkner | Dietitian, Registered | 6 Ledrick Cir, Mayflower, AR 72106-8404 | 2013-11-06 |
| 1700194990 | John B Witherspoon Optometric Physician Ltd | Optometrist | 29 River Road Dr E, Mayflower, AR 72106-8409 | 2010-09-22 |
| Find all providers in zip 72106 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONWAY REGIONAL MEDICAL CENTER, INC..
| 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.