Washington Regional Medical System in Fayetteville - Clinical Neurophysiology
Washington Regional Medical System - NPI 1104097500
Washington Regional Medical System is a Clinical Neurophysiology in Fayetteville, Arkansas. Washington Regional Medical System practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Washington Regional Medical System is 1104097500. The last update date is 2009-12-17.
Washington Regional Medical System's current location address is 3336 N Futrall Dr, Fayetteville, Arkansas. You can contact this provider via phone number 4794633000 and fax number 4794693050. The mailing address for Washington Regional Medical System is 3336 N Futrall Dr, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Washington Regional Medical System |
|---|---|
| Address | 3336 N Futrall Dr, Fayetteville, Arkansas |
| Phone Number | 4794633000 |
| Fax Number | 4794693050 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VIC |
|---|---|
| Authorized Official Name | Eckels Daniel |
| Telephone Number | 4794631704 |
NPI Number Detail
| NPI Number | 1104097500 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2009-12-17 |
Provider Mailing Address Detail
| Address | 3336 N Futrall Dr |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034057 |
| Phone Number | 4794633000 |
| Fax Number | 4794693050 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176277002 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Washington Regional Medical System by the Centers for Medicare & Medicaid Services?
The Washington Regional Medical System has been issued the NPI (National Provider Identifier) 1104097500 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Washington Regional Medical System's facilities are situated?
The facilities of Washington Regional Medical System are physically located at the following address: 3336 N Futrall Dr, Fayetteville, AR, 727034057.
What is Washington Regional Medical System's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Washington Regional Medical System is Clinical Neurophysiology, and the taxonomy code that categorizes this field of expertise is 2084N0600X.
On what date did Washington Regional Medical System receive its 1104097500 assignment from the Centers for Medicare & Medicaid Services?
The Washington Regional Medical System was assigned its 1104097500 on 2008-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Washington Regional Medical System most recently updated or revised?
The details related to Washington Regional Medical System, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-17.