# WASHINGTON REGIONAL MEDICAL SYSTEM

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

## Provider details

- **NPI number:** 1326376419
- **Authorized official:** DANIEL ECKELS (SENIOR VICE PRESIDENT/CFO)
- **Authorized official phone:** (479) 463-6026

## Contact information

- **Practice address:** 813 FOUNDERS PARK DRIVE, SPRINGDALE, AR 72762
- **Practice address phone:** (479) 463-2333
- **Practice address fax:** (479) 463-2357
- **Mailing address:** 12 E APPLEBY, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703
- **Mailing address phone:** (479) 463-1704
- **Mailing address fax:** (479) 463-7864

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 12/01/2009