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Contact Information

CONWAY CHILDRENS CLINIC PA CORP
2505 COLLEGE AVE
CONWAY, AR72034
 Phone: 501-327-6000
 Fax: 501-450-7559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CONWAY CHILDRENS CLINIC PA CORP

NPI # 1033170261
LBN Legal business name CONWAY CHILDRENS CLINIC PA CORP
Authorized official MICHAEL CONNAUGHTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2006
Last updated 02/07/2011 - About 15 years ago
Identifiers
AR Medicaid 115903002
AR Other 57800 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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