CONWAY REGIONAL INFECTIOUS DISEASE CLINIC – NPI #1376025544
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CONWAY REGIONAL INFECTIOUS DISEASE CLINIC is a provider located in CONWAY, AR. NPPES has assigned the NPI number 1376025544 to CONWAY REGIONAL INFECTIOUS DISEASE CLINIC on September 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONWAY REGIONAL INFECTIOUS DISEASE CLINIC” 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 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

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 INFECTIOUS DISEASE CLINIC below.

NPI Profile for
CONWAY REGIONAL MEDICAL CENTER, INC.

NPI Number
1376025544
Enumeration Date

(about 8 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 INFECTIOUS DISEASE CLINIC
Primary location
525 WESTERN AVE STE 301
CONWAY, AR 72034-4981
Phone: (501) 513-5295 Fax: (501) 513-5296
Mailing address
PO BOX 9662
CONWAY, AR 72033-9662
Phone: (501) 852-1363 Fax:
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
207RI0200X
- Internal Medicine / Infectious Disease (Primary)
AR

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.