Washington Regional Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

AR4099 Issued in AR

Legal business name

WASHINGTON REGIONAL MEDICAL CENTER

Practice address

1125 N College Ave
Fayetteville, AR 72703-1908

Phone

(479) 713-1000

NPI assigned

Sep 15, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan Eckels

Title

Sr VP & Cfo

Phone

(479) 463-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063407138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-713-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-713-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKELS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "SR VP & CFO",
        "authorized_official_telephone_number": "479-463-5000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AR",
            "license": "AR4099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "AR4099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Joe Warren, D.C.
• Jenna Kaye Waselues, D.D.S.
• Laura E Washburn
• Washington County Home Health Care Inc.
• Washington County Regional Ambulance Authority
• Washington Regional Medical Center
• Washington Regional Medical Center
• Washington Regional Medical Center
• Washington Regional Medical Center
• Washington Regional Medical Center

• Psychiatric Hospital Unit in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatric Hospital Unit in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.