CONWAY REGIONAL MEDICAL CENTER INC (NPI# 1942375639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942375639 |
Entity Type | Organization |
Organization Name | CONWAY REGIONAL MEDICAL CENTER INC |
Other Organization Name | GREENBRIER FAMILY MEDICINE |
Practice Address |
110 N Broadview St Greenbrier AR 72058-9475 |
Mailing Address |
110 N Broadview St P.o. Box 476 Greenbrier AR 72058-9475 |
Practice Telephone | 5016793551 |
Practice Fax Number | 5016794536 |
Mailing Telephone | 5016793551 |
Mailing Fax Number | 5016794536 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2019-12-30 |
Authorized Official Name | MRS. ALAN FINLEY (COO) |
Authorized Official Telephone | 5014502114 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Greenbrier Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1497770424 | Conway Regional Medical Center Inc | General Acute Care Hospital | 2302 College Ave, Conway, AR 72034-6297 | 2006-07-12 |
Street Address |
110 N BROADVIEW ST |
City | GREENBRIER |
State | AR |
Zip Code | 72058-9475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649726845 | Lauren Blansett | Nurse Practitioner | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2016-08-28 |
1407143662 | Jarrod Jerry | Nurse Practitioner | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2011-07-07 |
1093030918 | James R Fulmer Jr. | Family Medicine | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2010-04-03 |
1043549371 | Misty L Birdwell | Pediatrics | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2009-12-16 |
1275780736 | Rhonda Christine Robnett | Nurse Practitioner | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2008-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487296570 | Lauren Michelle Davis | Pharmacist | 61a South Broadview Street, Greenbrier, AR 72058 | 2019-10-10 |
1851941751 | Carmen M. Crawford | Technician | 129 Mill Creek Dr., Greenbrier, AR 72058 | 2019-09-13 |
1659935476 | Thomas A Bradley | Nurse Practitioner | 20 Wilson Farm Rd, Greenbrier, AR 72058 | 2019-04-26 |
1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
1912453127 | Sarah Ellington | Speech-Language Pathologist | 8 Wilson Farm Rd Suite F, Greenbrier, AR 72058 | 2016-08-28 |
1487056628 | Tammy Dallari | Occupational Therapist | 92 A S Broadview St, Greenbrier, AR 72058 | 2014-09-18 |
1427300953 | Elizabeth Mcclelland | Occupational Therapist | 92 A South Broadveiw, Hwy 65, Greenbrier, AR 72058 | 2012-10-08 |
1891040564 | Kristina Mcgee | Speech-Language Pathologist | 92 South Broadveiw, Hwy 65, Greenbrier, AR 72058 | 2012-07-19 |
1003189606 | Conway Childrens Clinic Pa Corp | Clinic/Center | 10 Lois Lane, Greenbrier, AR 72058 | 2012-02-14 |
1861797813 | Harps Food Stores Inc | Pharmacy | 15 North Broadview Street, Greenbrier, AR 72058 | 2011-01-24 |
Find all providers in zip 72058 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003189606 | Conway Childrens Clinic Pa Corp | Clinic/Center | 10 Lois Lane, Greenbrier, AR 72058 | 2012-02-14 |
1548362437 | Conway Regional Medical Center Inc | Clinic/Center | 110 N Broadview, Greenbrier, AR 72058-9475 | 2006-09-02 |
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---|---|---|---|---|
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 |
City | GREENBRIER |
Zip Code | 72058 |
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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.