Organization
WASHINGTON REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN ECKELS (SR VP & CFO)
(479) 463-5000
Entity
Organization
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 713-1000
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 713-1000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
AR4099
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR4099
STATE LICENSURE
—
Enumeration date
09/15/2005
Last updated
08/22/2020
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