Conway Regional Medical Center, Inc
NPI 1043864093ActiveOrganization· Dentist, General Practice· Conway, AR
Dentist, General Practice in Conway, Arkansas, registered in NPPES in July 2019. The authorized official on file is William Pack, Cfo. Enrolled in Medicare as part b supplier - hospital department(s).
Overview
| NPI | 1043864093 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2019 |
| Last updated in NPPES | Nov 9, 2023 |
| Certified by provider | Nov 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Hospital Department(S) (AR) |
|---|
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