WASHINGTON REGIONAL SPECIALTY CLINIC – NPI #1881650497
Clinic/Center

WASHINGTON REGIONAL SPECIALTY CLINIC is an AHC clinic located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1881650497 to WASHINGTON REGIONAL SPECIALTY CLINIC on April 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WASHINGTON REGIONAL SPECIALTY CLINIC” is a dba name, the actual legal business name for this organization is WASHINGTON REGIONAL MEDICAL SYSTEM. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WASHINGTON REGIONAL SPECIALTY CLINIC below.

NPI Profile for
WASHINGTON REGIONAL MEDICAL SYSTEM

NPI Number
1881650497
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WASHINGTON REGIONAL MEDICAL SYSTEM
Doing Business As (dba): WASHINGTON REGIONAL SPECIALTY CLINIC
Primary location
82 W SUNBRIDGE
FAYETTEVILLE, AR 72703
Phone: (479) 575-9000 Fax: (479) 251-8188
Mailing address
PO BOX 879
FAYETTEVILLE, AR 72702-0879
Phone: (479) 713-7115 Fax: (479) 713-7186
Organization Subpart
No
Authorized Official
MARY ROTHROCK
DIRECTOR CLINIC ADMINISTRATION
Phone: (479) 463-1390
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.