# WASHINGTON REGIONAL MEDICAL SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ozark Family Practice - Washington Regional
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457854309
- **Authorized official:** DANIEL R ECKELS (CFO)
- **Authorized official phone:** (479) 968-8279

## Contact information

- **Practice address:** 602 N PINE ST, HARRISON, AR 72601-2842
- **Practice address phone:** (870) 743-4242
- **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 |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/16/2018