Conway Regional Medical Center Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

CONWAY REGIONAL MEDICAL CENTER INC

Doing business as

Conway Regional Medical Clinic - Russellville

Practice address

108 Skyline Dr
Russellville, AR 72801-3362

Phone

(479) 968-7170

Fax

(479) 968-7607

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angie Longing

Title

President/Ceo

Phone

(501) 514-4514

Specialties & licenses 1

Addresses

Other names 1

• Conway Regional Medical Clinic - Russellville Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1265331805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013362",
            "telephone_number": "479-968-7170",
            "fax_number": "479-968-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "LONGING",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "501-514-4514"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Regional Medical Clinic - Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Service, Inc
• Moriah Conkin, RECOVERY ASSISTANT
• Mary Caitlin Conner, MS, LAC, AADC, LADAC
• Conway County Community Service Inc.
• Conway County Community Service Inc.
• Conway Regional Medical Center, Inc (Conway Regional Medical Clinic-Russellville)
• Matthew Cook, PTA
• Pamela L Cook
• Riley Virginia Cook, PT, DPT
• Melanie Margaret Cooke, LCSW

• General Acute Care Hospital in Russellville, AR
• Providers in Russellville, AR by specialty
• General Acute Care Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.