Washington Regional Medical System
Organization Active NPI Neonatal-Perinatal Medicine Physician · Fayetteville, AR
NPI 1346294154 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346294154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- Legal business name
- WASHINGTON REGIONAL MEDICAL SYSTEM
- Practice address
- 3215 N North Hills Blvd
Fayetteville, AR 72703 - Phone
- (479) 463-1000
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary Jo Rothrock
- Title
- Director Clinic Administration
- Phone
- (479) 463-1390
Corporate family (same tax ID) 25
National Provider Directory
- Tax ID family
- Walker Heart Inst
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician |
2080N0001X | Yes |
Addresses
Primary practice location
3215 N North Hills Blvd
Fayetteville, AR 72703
Mailing address
PO Box 879
Fayetteville, AR 72702-0879
Phone (479) 713-7115
Other names
- Washington Regional Neonatology
Other providers in Fayetteville, AR
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
- Washington Regional Medical System
All providers in Fayetteville, AR · Neonatal-Perinatal Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.