# WASHINGTON REGIONAL MEDICAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Urgent Care - Washington Regional
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699139345
- **Authorized official:** DAN ECKELS (CFO)
- **Authorized official phone:** (479) 968-8279

## Contact information

- **Practice address:** 3561 JOHNSON MILL BLVD, SUITE 102, FAYETTEVILLE, AR 72703
- **Practice address phone:** (479) 463-4900
- **Practice address fax:** (479) 463-4910
- **Mailing address:** PO BOX 550, LOWELL, AR 72745
- **Mailing address phone:** (479) 463-7775
- **Mailing address fax:** (479) 463-7187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 05/15/2018