Organization
WASHINGTON REGIONAL MEDICAL CENTER
Active
Parent organization
WASHINGTON REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON REGIONAL MEDICAL CENTER
Authorized official
DAN RAY ECKELS (SVP/CFO)
(479) 463-6026
Entity
Organization
Contact information
Practice address
325 E LONGVIEW ST, FAYETTEVILLE, AR 72703-4618
(479) 463-7385
(479) 444-7120
Mailing address
325 E LONGVIEW ST, FAYETTEVILLE, AR 72703-4618
(479) 713-7385
(479) 444-7120
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR3906
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11500
BLUE CROSS
AR
05
—
126352747
—
AR
Enumeration date
05/30/2007
Last updated
09/03/2020
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