Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conway Regional Medical Center, Inc

Organization Family Medicine Physician · NPI 1245729359

Conway Regional Medical Center, Inc is a Family Medicine Physician in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2018.

Licensed in
AR
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Skyline Dr
Russellville, AR 72801-3362
Phone: (479) 968-7170
Fax: (479) 968-7607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AR)

Record details

NPI number1245729359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pack — Cfo · (501) 450-2112
Other names Conway Regional Medical Clinic-Russellville
NPI enumeratedMay 3, 2018
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing addressPo Box 9662, Conway, AR 72033-9662

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