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WASHINGTON REGIONAL MEDICORP INC. NPI 1366929846


NPI Information

NPI: 1366929846
Provider Name: WASHINGTON REGIONAL MEDICORP, INC.

Doing Business As: PACE OF THE OZARKS

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 04D2001843

Address:
813 FOUNDERS PARK DR E STE 107
SPRINGDALE, AR
ZIP 72762
Phone: (479) 463-6600
Get Directions

WASHINGTON REGIONAL MEDICORP, INC. is a program of all inclusive care for the elderly pace provider organization in Springdale, AR. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. WASHINGTON REGIONAL MEDICORP, INC. NPI is 1366929846. The provider is registered as an organization entity type.
The provider Is Doing Business As Pace Of The Ozarks.

The provider's business location address is:

813 FOUNDERS PARK DR E STE 107
SPRINGDALE, AR
ZIP 72762-314
Phone: (479) 463-6600
Fax: (479) 463-6601

The provider's authorized official is Sharon Hilton .
The authorized official title is Executive Director and has the following contact phone number (479) 463-6600.

The CLIA number assigned to this NPI record is 04D2001843 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/26/2018 and was last updated on 7/26/2018.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationARKANSASYes

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: 11/14/2023

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