WASHINGTON REGIONAL URGENT CARE – NPI #1700297033
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WASHINGTON REGIONAL URGENT CARE is a provider located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1700297033 to WASHINGTON REGIONAL URGENT CARE on May 08, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WASHINGTON REGIONAL URGENT CARE” 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Jan 24, 2018. 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 URGENT CARE below.

NPI Profile for
WASHINGTON REGIONAL MEDICAL SYSTEM

NPI Number
1700297033
Enumeration Date

(more than 12 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 URGENT CARE
Primary location
3 E. APPLEBY ROAD
SUITE 101
FAYETTEVILLE, AR 72703
Phone: (479) 404-1010 Fax: (479) 404-1011
Mailing address
PO BOX 550
LOWELL, AR 72745-0550
Phone: (479) 463-7775 Fax: (479) 463-7187
Organization Subpart
No
Authorized Official
JAMES SHACKELFORD
CEO
Phone: (479) 463-6004
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
208D00000X
- General Practice (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.