Conway Ob-Gyn Clinic Pa

LBN: Conway Ob-Gyn Clinic Pa
Conway Ob-Gyn Clinic Pa is an health care organization with primary practice located at 2180 Ada Avenue Suite 300, Conway AR 72034-6135. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Conway Ob-Gyn Clinic Pa can be contacted via phone (501) 327-6547, or through Fagala, Robin Carol via phone (501) 327-6547.

Contact Information

Primary practice address
2180 Ada Avenue Suite 300 Conway AR 72034-6135
Phone: (501) 327-6547
Fax: (501) 327-9715
Website:
Map and Directions
Authorized official contact:
Name: Fagala, Robin Carol
Phone: (501) 327-6547

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1235198045
LBN Legal business name Conway Ob-Gyn Clinic Pa
DBA Doing business as
Authorized official Fagala, Robin Carol
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Nov 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235198045 NPPES
Arkansas MEDICAID 115352002

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