Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Senior Clinic B
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO ROTHROCK (DIRECTOR CLINIC ADMINISTRATION)
(479) 463-1390
Entity
Organization
Contact information
Practice address
3211 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703
(479) 463-4444
(479) 463-4499
Mailing address
PO BOX 879, FAYETTEVILLE, AR 72702-0879
(479) 713-7115
(479) 713-7186
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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