OrganizationActive
Conway Regional Medical Center, Inc
NPI 1730402249 · Psychiatry Physician · Conway, AR
Provider details
- NPI number
- 1730402249
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Conway Regional Medical Center
- Organization subpart
- Yes
- Authorized official
- William Pack, Cfo(501) 450-2112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
495 Hogan Ln Ste 2
Conway, AR 72034-8498
Phone: (501) 358-6695
Fax: (501) 358-6860
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9662
Conway, AR 72033-9662
Other names (DBA / former)
- Doing business as
- Conway Regional Counseling Center
Registry dates
- Enumerated
- 2010-03-11
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.