Mayflower Medical Clinic

LBN: Conway Regional Medical Center, Inc.
Mayflower Medical Clinic is an health care organization with primary practice located at 606 Highway 365 , Mayflower AR 72106-9595. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Conway Regional Medical Center, Inc. can be contacted via phone (501) 470-7413, or through Pack, William via phone (501) 450-2112.

Contact Information

Primary practice address
606 Highway 365 Mayflower AR 72106-9595
Phone: (501) 470-7413
Fax: (501) 470-7415
Website:
Map and Directions
Authorized official contact:
Name: Pack, William
Phone: (501) 450-2112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1851389605
LBN Legal business name Conway Regional Medical Center, Inc.
DBA Doing business as Mayflower Medical Clinic
Authorized official Pack, William
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2005
Last updated Nov 9th, 2023 - about 2 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 1851389605 NPPES
Arkansas MEDICAID 127018002

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