CONWAY REGIONAL NEUROSCIENCE CENTER – NPI #1255879656
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CONWAY REGIONAL NEUROSCIENCE CENTER is a psychiatry & neurologist located in CONWAY, AR. NPPES has assigned the NPI number 1255879656 to CONWAY REGIONAL NEUROSCIENCE CENTER on February 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONWAY REGIONAL NEUROSCIENCE CENTER” 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 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

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 NEUROSCIENCE CENTER below.

NPI Profile for
CONWAY REGIONAL MEDICAL CENTER, INC.

NPI Number
1255879656
Enumeration Date

(more than 9 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 NEUROSCIENCE CENTER
Primary location
2200 ADA AVE STE 302
CONWAY, AR 72034-4985
Phone: (501) 932-0352 Fax: (501) 932-0354
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
2084N0400X
- Psychiatry & Neurology / Neurology (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.