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 Psychiatry Physician · NPI 1730402249

Conway Regional Medical Center, Inc is a Psychiatry Physician in Conway, Arkansas. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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

495 Hogan Ln Ste 2
Conway, AR 72034-8498
Phone: (501) 358-6695
Fax: (501) 358-6860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1730402249
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConway Regional Medical Center
Authorized official William Pack — Cfo · (501) 450-2112
Other names Conway Regional Counseling Center
NPI enumeratedMarch 11, 2010
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing addressPo Box 9662, Conway, AR 72033-9662

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