# WASHINGTON REGIONAL MEDICAL SYSTEM

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

## Provider details

- **NPI number:** 1871866038
- **Authorized official:** MR. WILLIAM L. BRADLEY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (479) 463-5007

## Contact information

- **Practice address:** 715 W SHERMAN AVE STE G, HARRISON, AR 72601-2737
- **Practice address phone:** (870) 741-8247
- **Practice address fax:** (870) 741-3933
- **Mailing address:** PO BOX 1898, LOWELL, AR 72745-1898
- **Mailing address phone:** (870) 741-7309
- **Mailing address fax:** (870) 741-3834

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2012
- **Last updated:** 02/20/2012