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Contact Information

WASHINGTON REGIONAL MEDICAL SYSTEM
3336 N FUTRALL DR
FAYETTEVILLE, AR72703-4057
 Phone: 479-463-3000
 Fax: 479-469-3050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WASHINGTON REGIONAL MEDICAL SYSTEM

NPI # 1104097500
LBN Legal business name WASHINGTON REGIONAL MEDICAL SYSTEM
Authorized official DANIEL ECKELS - (SENIOR VICE PRESIDENT/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2008
Last updated 12/17/2009 - About 16 years ago
Identifiers
AR Medicaid 176277002
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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