# 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:** 1639282197
- **Authorized official:** DAN ECKELS (CFO)
- **Authorized official phone:** (479) 463-2825

## Contact information

- **Practice address:** 106 EAST PARK STREET, LINCOLN, AR 72744
- **Practice address phone:** (479) 824-3196
- **Practice address fax:** (479) 267-4397
- **Mailing address:** PO BOX 550, LOWELL, AR 72745-0550
- **Mailing address phone:** (479) 463-7775
- **Mailing address fax:** (479) 463-7187

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 05/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 131551002 | — | AR |
| 01 | — | DG1875 | RAILROAD MEDICARE | — |