Washington Regional Medicorp, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

487 Issued in AR

Legal business name

WASHINGTON REGIONAL MEDICORP, INC.

Doing business as

Fayetteville City Hospital and Geriatric Center

Practice address

221 S School Ave
Fayetteville, AR 72701-5969

Phone

(479) 442-5100

Fax

(479) 587-2679

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jane Ellen Ledbetter

Title

Administrator

Phone

(479) 442-5100

Specialties & licenses 1

Addresses

Other names 1

• Fayetteville City Hospital and Geriatric Center Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851443022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015969",
            "telephone_number": "479-442-5100",
            "fax_number": "479-587-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015969",
            "telephone_number": "479-442-5100",
            "fax_number": "479-587-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON REGIONAL MEDICORP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-442-5100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayetteville City Hospital and Geriatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washington Regional Medical System (Washington Regional Gastroenterology Clinic)
• Washington Regional Medical System (Northwest Arkansas Neurosurgery Clinic - Washington Regional)
• Washington Regional Medical System (Washington Regional Specialty Clinic)
• Washington Regional Medical System (Washington Regional Ozark Surgical Clinic)
• Washington Regional Medicorp, Inc. (Fayetteville City Hospital-Transitions)
• Kristi Michelle Washington, LPC, LMFT
• Melissa Anne Waterhouse, PHARMD
• Watkins Family Health & Counseling, Inc.
• Watkins Family Health & Counseling, Inc.
• Charla M Watkins, DNP, FNP-BC, BC

• Skilled Nursing Facility in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Skilled Nursing Facility 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.