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DSH040029 CONWAY REGIONAL MEDICAL CENTER INC (Active)
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Main Details
Name
CONWAY REGIONAL MEDICAL CENTER INC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040029
Medicare Provider Number
040029
Additional Details
Current Program Status
Active
Registration Date
7/7/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Conway Regional Health System
James Reed, VP of Clinical Support Services/CIO
(501) 513-5152
Primary Contact
Conway Regional Medical Center
Josh Roberts, Pharmacy Director
(501) 513-5152
Addresses
Street Address
2302 COLLEGE AVENUE
CONWAY, AR 72034
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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