PROVIDENCE FAMILY MEDICINE CLINIC INC
NPI 1932690617
Family Medicine in Conway, AR

Q: What is Providence Family Medicine Clinic Inc's specialty?

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

Active since May 29, 2018

3900 DAVE WARD DR, CONWAY, AR 72034(501) 499-1086 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Providence Family Medicine Clinic Inc NPPES

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

PROVIDENCE FAMILY MEDICINE CLINIC INC (NPI 1932690617) is a healthcare organization registered as a family medicine in Conway, Arkansas and active in the NPI registry since May 2018. The organization lists Mohammad Idris, President, as its authorized official.

NPPES Registry Identity

NPI1932690617

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE FAMILY MEDICINE CLINIC INC

Location Address3900 DAVE WARD DRConway, AR 72034-5583

Mailing Address8 Oak Tree CirConway, AR 72032-2112 · (501) 499-1086

Phone(501) 499-1086

Organization SubpartNo

Authorized OfficialMohammad IdrisPresident · (501) 499-1086

Enumeration DateMay 29, 2018

✔ NPI 1932690617 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.

3900 DAVE WARD DR, Conway, AR 72034

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

WALMART INC.

Pharmacy (Community/Retail Pharmacy)