| Washington Regional Medical Center | |
|
1125 N College Ave Fayetteville AR 72703-1908 | |
| (479) 713-1000 | |
| Not Available |
| Full Name | Washington Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1125 N College Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Dan Eckels (SR VP & CFO) |
| Authorized Official Contact | 4794635000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Regional Medical Center 1125 N College Ave Fayetteville AR 72703-1908 Ph: (479) 713-1000 | Washington Regional Medical Center 1125 N College Ave Fayetteville AR 72703-1908 Ph: (479) 713-1000 |
| NPI Number | 1063407138 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063407138 | NPI | - | NPPES |
| AR4099 | Other | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | AR4099 (Arkansas) | Primary |
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