Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Senior Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R ECKELS (SENIOR VICE PRESIDENT/CFO)
(479) 463-6026
Entity
Organization
Contact information
Practice address
12 E APPLEBY RD, WASHINGTON REGIONAL SENIOR CLINIC, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY RD, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703-3901
(479) 463-1704
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158990002
—
AR
Enumeration date
04/22/2006
Last updated
11/16/2009
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