# 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:** Washington Regional Diagnostic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598715302
- **Authorized official:** DANIEL R ECKELS (SENIOR VP/CFO)
- **Authorized official phone:** (479) 463-6026

## Contact information

- **Practice address:** 3000 NW A ST, BENTONVILLE, AR 72712-3985
- **Practice address phone:** (479) 268-3050
- **Practice address fax:** (479) 268-3061
- **Mailing address:** 12 E APPLEBY RD, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703-3901
- **Mailing address phone:** (479) 463-1704
- **Mailing address fax:** (479) 463-7864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/10/2010