# COUNTY OF WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF WASHINGTON
- **Other names:** Washington County HIV Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053476606
- **Legal business name:** COUNTY OF WASHINGTON
- **Authorized official:** LINDA MCGHEE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (479) 973-8450

## Contact information

- **Practice address:** 3270 N. WIMBERLY DRIVE, FAYETTEVILLE, AR 72703
- **Practice address phone:** (479) 973-8450
- **Practice address fax:** (479) 973-8452
- **Mailing address:** 3270 N. WIMBERLY DRIVE, FAYETTEVILLE, AR 72703
- **Mailing address phone:** (479) 973-8450
- **Mailing address fax:** (479) 973-8452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ARC4505 | AR | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 05/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 122854002 | — | AR |