National Provider Identifier Database

WASHINGTON REGIONAL MEDICAL CENTER
Hospice Care, Community Based


Contact Information

WASHINGTON REGIONAL MEDICAL CENTER
325 E LONGVIEW ST
FAYETTEVILLE, AR72703-4618
Phone: 479-463-7385
Fax: 479-444-7120
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for WASHINGTON REGIONAL MEDICAL CENTER

NPI Number 1811198641
Legal business name
LBN
WASHINGTON REGIONAL MEDICAL CENTER
Authorized official DAN ECKELS - (SVP/CFO)
Entity Organization
Organization subpart Yes
Enumeration date 05/30/2007
Last updated 09/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: AR3906
  • AR Medicaid: 126352747
  • AR Other: 11500 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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