WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE – NPI #1114971819
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE is a provider located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1114971819 to WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE” 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 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Mar 25, 2008. 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 FAMILY CLINIC FAYETTEVILLE below.

NPI Profile for
WASHINGTON REGIONAL MEDICAL SYSTEM

NPI Number
1114971819
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 FAMILY CLINIC FAYETTEVILLE
Primary location
3053 N COLLEGE AVENUE
FAYETTEVILLE, AR 72703
Phone: (479) 463-2000 Fax: (479) 442-4518
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
207Q00000X
- Family Medicine (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.