Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
West Washington County Clinic Washington Regional
Organization subpart
No
Provider details
NPI number
Authorized official
DAN ECKELS (CFO)
(479) 463-2825
Entity
Organization
Contact information
Practice address
106 EAST PARK STREET, LINCOLN, AR 72744
(479) 824-3196
(479) 267-4397
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131551002
—
AR
01
—
DG1875
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
05/14/2018
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