CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST. – NPI #1275990871
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST. is a provider located in CONWAY, AR. NPPES has assigned the NPI number 1275990871 to CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST. on January 27, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST.” is a dba name, the actual legal business name for this organization is CONWAY REGIONAL MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Nov 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST. below.

NPI Profile for
CONWAY REGIONAL MEDICAL CENTER, INC.

NPI Number
1275990871
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONWAY REGIONAL MEDICAL CENTER, INC.
Doing Business As (dba): CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST.
Primary location
1 MEDICAL LN
CONWAY, AR 72034-4912
Phone: (501) 329-2948 Fax: (501) 450-7243
Mailing address
PO BOX 9662
CONWAY, AR 72033-9662
Phone: (501) 852-1363 Fax: (501) 852-1364
Organization Subpart
No
Authorized Official
WILLIAM PACK
CFO
Phone: (501) 450-2112
Updated
Certification Date
Nov 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.