CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST.
NPI 1275990871
Family Medicine in Conway, AR

Active since January 27, 2016CLIA 04D0664530 · Waiver
1 MEDICAL LN, CONWAY, AR 72034(501) 329-2948(501) 450-7243 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2023, Dec 30, 2019, Jan 27, 2016 (3 updates tracked since 2016).

About Conway Regional Medical Clinic-prince St. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST. (NPI 1275990871) is a healthcare organization registered as a family medicine in Conway, Arkansas and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275990871
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER, INC.
Location Address1 MEDICAL LNConway, AR 72034-4912
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Fax(501) 450-7243
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateJanuary 27, 2016
Last NPPES UpdateNovember 9, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
NPI 1275990871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 MEDICAL LN, Conway, AR 72034

Other Names 1

Doing Business AsConway Regional Medical Clinic-prince St.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0664530

Conway Regional Medical Clinic - Prince Street · Conway, AR
Active · expires Nov 17, 2027
CLIA Number04D0664530
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorMs. Nancy Calvin
Laboratory Phone(501) 329-2948
Laboratory LocationConway Regional Medical Clinic - Prince Street#1 Medical Lane, Conway, AR 72034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1 MEDICAL LN
CONWAY, AR 72034
Family Medicine
1 MEDICAL LN
CONWAY, AR 72034
Family Medicine
1 MEDICAL LN
CONWAY, AR 72034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conway Regional Medical Center, Inc.'s NPI number?

The NPI number for Conway Regional Medical Center, Inc. is 1275990871. It was assigned to this organization in the NPPES registry on January 27, 2016. The provider is doing business as Conway Regional Medical Clinic-Prince St..

Where is Conway Regional Medical Center, Inc. located?

Conway Regional Medical Center, Inc. is located at 1 Medical Ln, Conway, AR 72034. The listed phone number is (501) 329-2948.

What is Conway Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Conway Regional Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0664530) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Regional Medical Center, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Conway Regional Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Conway Regional Medical Center, Inc. was last updated on November 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.