WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1588618292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588618292 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Other Organization Name | WASHINGTON REGIONAL SENIOR CLINIC B |
| Practice Address |
3211 N North Hills Blvd Fayetteville AR 72703 |
| Mailing Address |
Po Box 879 Fayetteville AR 72702-0879 |
| Practice Telephone | 4794634444 |
| Practice Fax Number | 4794634499 |
| Mailing Telephone | 4797137115 |
| Mailing Fax Number | 4797137186 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY JO ROTHROCK (DIRECTOR CLINIC ADMINISTRATION) |
| Authorized Official Telephone | 4794631390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Washington Regional Senior Clinic B | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1477004109 | Washington Regional Medical System | Colon & Rectal Surgery | 203 S Bloomington St, Lowell, AR 72745-9490 | 2016-10-18 |
| 1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
| 1255758868 | Washington Regional Medical System | Internal Medicine | 82 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2014-03-20 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1871866038 | Washington Regional Medical System | Family Medicine | 715 W Sherman Ave Ste G, Harrison, AR 72601-2737 | 2012-02-20 |
| 1639282197 | Washington Regional Medical System | Family Medicine | 106 East Park Street, Lincoln, AR 72744 | 2006-08-17 |
| 1437102662 | Washington Regional Medical System | Family Medicine | 146 A Passion Play Rd, Eureka Springs, AR 72632 | 2006-05-18 |
| 1598715302 | Washington Regional Medical System | Internal Medicine | 3000 Nw A St, Bentonville, AR 72712-3985 | 2006-05-11 |
| 1881650497 | Washington Regional Medical System | Clinic/Center | 82 W Sunbridge, Fayetteville, AR 72703 | 2006-04-22 |
| Street Address |
3211 N NORTH HILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265082341 | Serene Concepts PC | Clinic/Center | 500 Lanier Ave W Ste 801g, Fayetteville, GA 30214-7642 | 2019-09-19 |
| 1649828971 | Matters of The Mind | Clinic/Center | 1925 Nuthatch Rd, Fayetteville, NC 28304-4766 | 2019-08-29 |
| 1295216562 | Southeast Counseling Services LLC | Clinic/Center | 6405 Camden Rd Ste 109, Fayetteville, NC 28306-7584 | 2018-08-24 |
| 1013251156 | New Day Behavioral Health Center, PC | Clinic/Center | 2139 Valleygate Dr Ste 203, Fayetteville, NC 28304-3666 | 2012-11-15 |
| 1477781300 | Acheving Excellence | Clinic/Center | 1226 Ramsey St, Fayetteville, NC 28301-4402 | 2009-06-30 |
| 1114116944 | Carolina Psychiatry, P.C. | Clinic/Center | 548 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2007-10-17 |
| 1831727890 | Aurora Rehabilitation Clinic Pa | Clinic/Center | 509 E Millsap Rd Ste 109, Fayetteville, AR 72703-4862 | 2020-03-27 |
| 1942778691 | New View Behavioral Health Services Pllc | Clinic/Center | 111 Lamon St Ste 222, Fayetteville, NC 28301-4957 | 2018-11-10 |
| 1902306269 | Holos Consulting, LLC | Clinic/Center | 230 W Center St, Fayetteville, AR 72701-5934 | 2018-02-13 |
| 1053851865 | Thrive Addictions Services | Clinic/Center | 1611b Owen Dr, Fayetteville, NC 28304-3425 | 2017-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on WASHINGTON REGIONAL MEDICAL SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.