Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Parent organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Other names
Cardiovascular and Thoracic Surgery Washington Regional
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON REGIONAL MEDICAL SYSTEM
Authorized official
DAN ECKELS (CFO)
(479) 463-2825
Entity
Organization
Contact information
Practice address
3276 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703
(479) 587-1114
(479) 587-1119
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100727330A
—
OK
05
—
118256002
—
AR
05
—
506707108
—
MO
Enumeration date
01/13/2006
Last updated
04/03/2018
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