NPIMap

Organization Active NPI

Conway Regional Medical Center,Inc,

  • Ambulatory Surgical Clinic/Center
  • Conway, AR
National Provider Identifier
1306157656
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CONWAY REGIONAL MEDICAL CENTER,INC,
Practice address
525 Western Ave
Suite 301
Conway, AR 72034-4967
Phone
(501) 450-2491
Fax
(501) 450-2283
NPI assigned
Jul 1, 2010
Organization subpart
Yes
Parent organization
CONWAY REGIONAL MEDICAL CENTER,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mrs. Angie Huselton
Title
Director of Physician Services
Phone
(501) 450-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

525 Western Ave
Suite 301
Conway, AR 72034-4967

Mailing address

525 Western Ave
Suite 301
Conway, AR 72034-4967

Other names 1

  • Conway Surgery Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Center Ridge Family Med

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1306157656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE",
            "address_2": "SUITE 301",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE",
            "address_2": "SUITE 301",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344967",
            "telephone_number": "501-450-2491",
            "fax_number": "501-450-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY REGIONAL MEDICAL CENTER,INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONWAY REGIONAL MEDICAL CENTER,INC",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HUSELTON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "501-450-2491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Surgery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.