CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE
NPI 1811446206
Clinic/Center - Rural Health in Pottsville, AR

NPI Status: Active since September 26, 2016

Contact Information

5395 W ASH ST
SUITE 2
POTTSVILLE, AR
ZIP 72858
Phone: (479) 880-1118
Fax: (479) 219-5013

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  • Organization
  • Clinic/Center
  • Rural Health

About CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE

This page provides the complete NPI Profile along with additional information for Conway Regional Medical Clinic-pottsville, a primary care provider established in Pottsville, Arkansas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1811446206 assigned on September 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Conway Regional Medical Clinic-pottsville. The authorized official of this NPI record is William Pack (Cfo)

NPI
1811446206
Provider Legal Name
CONWAY REGIONAL MEDICAL CENTER INC.
Other Organization Name
CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5395 W ASH ST SUITE 2 POTTSVILLE, AR 72858
Location Phone
(479) 880-1118
Location Fax
(479) 219-5013
Mailing Address
PO BOX 9662 CONWAY, AR 72033
Mailing Phone
(501) 852-1363
Mailing Fax
(479) 219-5013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2016
Last Update Date
11-09-2023
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A primary care provider (PCP) like Conway Regional Medical Clinic-pottsville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 12-17-2004 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM PACK

Authorized Official Title
CFO
Authorized Official Phone
(501) 450-2112

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE has an ownership type of For profit
  • The facility received it's medicare certification date on 12-17-2004
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions132
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)11
Hip or femur fracture46
Hip or knee replacement, amputation or other bone or joint condition36
Nervous system disorder (excluding stroke)23
Spinal cord disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke43

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811446206
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821841220
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 8 + 4 + 1 + 2 + 2 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1811446206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982958484POTTSVILLE PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)5395 W ASH ST SUITE 9
POTTSVILLE, AR 72858
(479) 498-4130
1720361892DR. CLINT BELL PHARM.D.
Individual
Pharmacist5395 W ASH ST STE 9
POTTSVILLE, AR 72858
(479) 498-4130
1114277993RUSSELL B ALLISON MD PA
Organization
Clinic/Center (Rural Health)5395 W ASH ST
POTTSVILLE, AR 72858
(479) 880-1118
1710663059 PATRICIA ANN RICKETTS
Individual
Counselor (Mental Health)5395 W ASH ST
POTTSVILLE, AR 72858
(479) 339-0039

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811446206, enumerated in the NPI registry as an "organization" on September 26, 2016

The provider is located at 5395 W Ash St Suite 2 Pottsville, Ar 72858 and the phone number is (479) 880-1118

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

This NPI record was last updated on September 26, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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