CONWAY FAMILY CLINIC, INC. (NPI# 1013993898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013993898 |
Entity Type | Organization |
Organization Name | CONWAY FAMILY CLINIC, INC. |
Practice Address |
301 South Newport Avenue Conway MO 65632-0009 |
Mailing Address |
301 S Newport Ave Po Box 9 Conway MO 65632-8322 |
Practice Telephone | 4175892050 |
Practice Fax Number | 4175894046 |
Mailing Telephone | 4175892050 |
Mailing Fax Number | 4175894046 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2009-12-30 |
Authorized Official Name | DEE TWYMAN (PRESIDENT) |
Authorized Official Telephone | 4175892050 |
Authorized Official Credential | APRN, BC, FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 598899201 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144416330 | Conway Family Clinic, Inc. | Clinic/Center | 301 S. Newport, Conway, MO 65632 | 2007-09-20 |
Street Address |
301 SOUTH NEWPORT AVENUE |
City | CONWAY |
State | MO |
Zip Code | 65632-0009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164408399 | Deanna M Twyman | Nurse Practitioner | 301 South Newport Avenue, Conway, MO 65632 | 2005-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144416330 | Conway Family Clinic, Inc. | Clinic/Center | 301 S. Newport, Conway, MO 65632 | 2007-09-20 |
1679691117 | Humble Hearts Care Service | Day Training/Habilitation Specialist | 652 State Rd M, Conway, MO 65632 | 2007-03-26 |
1982680799 | Suzanne Thompson | Nurse Practitioner | 601 W. Jefferson St., Suite C, Conway, MO 65632 | 2005-12-22 |
1285063016 | Laclede County R-i School District | Local Education Agency (LEA) | 726 W Jefferson Ave, Conway, MO 65632-8206 | 2013-11-02 |
1194282376 | Lori Ann Hyde | Speech-Language Pathologist | 209 S Shiloh Ave, Conway, MO 65632-8238 | 2019-02-25 |
1952765695 | Mitzi Gerretsen | Nurse Practitioner | 301 S Newport Ave, Conway, MO 65632-8322 | 2016-04-08 |
1235759093 | Kendra Mcmillion | Nurse Practitioner | 301 S Newport Ave, Conway, MO 65632-8322 | 2020-04-22 |
1659517613 | John R Strobel | Specialist/Technologist, Other | 520 Starvey Creek Rd, Conway, MO 65632-8606 | 2008-12-22 |
1902042971 | John Strobel | Specialist/Technologist, Other | 520 Starvey Creek Rd, Conway, MO 65632-8606 | 2008-12-22 |
1598328817 | Kelly Lynn Hileman | Massage Therapist | 511 W Ruby St, Conway, MO 65632-9623 | 2019-04-22 |
Find all providers in zip 65632 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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---|---|---|---|---|
1306166012 | Conway Hospital Community Services | Clinic/Center | 1301 Creel St, Conway, SC 29527-5018 | 2010-06-03 |
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1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.