# WASHINGTON REGIONAL MEDICAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shiloh Clinic Washington Regional
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033559752
- **Authorized official:** MR. WILLIAM L. BRADLEY (CEO)
- **Authorized official phone:** (479) 463-5007

## Contact information

- **Practice address:** 513 N SHILOH ST, SPRINGDALE, AR 72764-3343
- **Practice address phone:** (479) 419-9902
- **Practice address fax:** (479) 419-9950
- **Mailing address:** PO BOX 550, LOWELL, AR 72745-0550
- **Mailing address phone:** (479) 463-7775
- **Mailing address fax:** (479) 463-7187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2013
- **Last updated:** 08/05/2013