# WASHINGTON REGIONAL MEDICAL SYSTEM

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

## Provider details

- **NPI number:** 1265921951
- **Authorized official:** DANIEL R ECKELS (CFO)
- **Authorized official phone:** (479) 968-8279

## Contact information

- **Practice address:** 106 E PARK ST, LINCOLN, AR 72744-8706
- **Practice address phone:** (479) 267-2120
- **Practice address fax:** (479) 267-4397
- **Mailing address:** 54 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
- **Mailing address phone:** (479) 463-2597
- **Mailing address fax:** (479) 463-2599

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 05/08/2018