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WASHINGTON REGIONAL MEDICAL SYSTEM NPI 1538423587


NPI Information

NPI: 1538423587
Provider Name: WASHINGTON REGIONAL MEDICAL SYSTEM

Doing Business As: WASHINGTON REGIONAL FAMILY CLINIC - EAST SPRINGDALE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D2044460

Address:
1607 S OLD MISSOURI RD
SPRINGDALE, AR
ZIP 72764
Phone: (479) 463-4887
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WASHINGTON REGIONAL MEDICAL SYSTEM is a family medicine in Springdale, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WASHINGTON REGIONAL MEDICAL SYSTEM NPI is 1538423587. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Washington Regional Family Clinic - East Springdale.

The provider's business location address is:

1607 S OLD MISSOURI RD
SPRINGDALE, AR
ZIP 72764-723
Phone: (479) 463-4887
Fax: (479) 463-4886

The provider's authorized official is William L Bradley .
The authorized official title is Ceo and has the following contact phone number (479) 463-6300.

The CLIA number assigned to this NPI record is 04D2044460 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/25/2012 and was last updated on 6/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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