# WASHINGTON REGIONAL MEDICAL SYSTEM

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

## Provider details

- **NPI number:** 1437102662
- **Authorized official:** MARY JO ROTHROCK (DIRECTOR CLINIC ADMINISTRATION)
- **Authorized official phone:** (479) 463-1390

## Contact information

- **Practice address:** 146 A PASSION PLAY RD, EUREKA SPRINGS, AR 72632
- **Practice address phone:** (479) 253-9746
- **Practice address fax:** (479) 253-2464
- **Mailing address:** PO BOX 879, FAYETTEVILLE, AR 72702-0879
- **Mailing address phone:** (479) 713-7115
- **Mailing address fax:** (479) 713-7186

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/22/2020