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Contact Information

WASHINGTON REGIONAL MEDICAL SYSTEM
3561 JOHNSON MILL BLVD
SUITE 102
FAYETTEVILLE, AR72704
 Phone: 479-404-4900
 Fax: 479-404-4910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for WASHINGTON REGIONAL MEDICAL SYSTEM

NPI Number 1205449691
LBN Legal business name WASHINGTON REGIONAL MEDICAL SYSTEM
Authorized official DANIEL ECKELS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2020
Last updated 08/26/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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