NPIMap

Washington Regional Medical System

Organization Active NPI Family Medicine Physician · Lincoln, AR

NPI 1639282197 · NPPES record last updated May 14, 2018

Key facts

NPI
1639282197
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
WASHINGTON REGIONAL MEDICAL SYSTEM
Practice address
106 East Park Street
Lincoln, AR 72744
Phone
(479) 824-3196
Fax
(479) 267-4397
NPI assigned
Aug 17, 2006
Organization subpart
No

Authorized official

Name
Dan Eckels
Title
Cfo
Phone
(479) 463-2825

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Walker Heart Inst (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

106 East Park Street
Lincoln, AR 72744

Mailing address

PO Box 550
Lowell, AR 72745-0550
Phone (479) 463-7775

Other identifiers

IdentifierTypeStateIssuer
131551002MedicaidAR
DG1875OtherRAILROAD MEDICARE

Other names

  • West Washington County Clinic Washington Regional Other name

Other providers in Lincoln, AR

All providers in Lincoln, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.