WASHINGTON REGIONAL MEDICAL SYSTEM


Address: 3211 N North Hills Blvd, Fayetteville, AR 72703
Phone: 4794634444

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Washington Regional Senior Clinic B Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3211 N NORTH HILLS BLVD
City FAYETTEVILLE
State AR
Zip Code 72703

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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