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General NPI Number Information
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NPI Number | 1841200417
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Entity Type | Organization
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Legal Business Name | CONWAY REGIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 437 DENISON ST
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City | CONWAY
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State | AR
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Zip | 72034-6127
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Country | US
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Telephone | 501-327-1325
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Fax | 501-327-1328
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Provider Business Mailing Address
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Address Line | 437 DENISON ST
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City | CONWAY
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State | AR
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Zip | 72034-6127
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Country | US
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Telephone | 501-327-1325
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Fax | 501-327-1328
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW TROUP
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Credential |
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Telephone | 501-450-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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