Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAN ECKELS (VICE PRESIDENT AND CFO)
(479) 463-6026
Entity
Organization
Contact information
Practice address
3215 N NORTHHILLS BLVD, WASHINGTON REGIONAL PSYCHIATRIC CLINIC, FAYETTEVILLE, AR 72703-4424
(479) 463-2004
(479) 463-7864
Mailing address
12 E APPLEBY, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703
(479) 463-1704
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148784002
—
AR
Enumeration date
04/22/2006
Last updated
09/20/2010
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