WASHINGTON REGIONAL MEDICAL CENTER (NPI# 1063407138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063407138 |
Entity Type | Organization |
Organization Name | WASHINGTON REGIONAL MEDICAL CENTER |
Practice Address |
1125 N College Ave Fayetteville AR 72703-1908 |
Practice Telephone | 4797131000 |
Mailing Telephone | 4797131000 |
Enumeration Date | 2005-09-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAN ECKELS (SR VP & CFO) |
Authorized Official Telephone | 4794635000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | AR4099 | AR | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
STATE LICENSURE | AR4099 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811198641 | Washington Regional Medical Center | Hospice Care, Community Based | 325 E Longview St, Fayetteville, AR 72703-4618 | 2007-05-30 |
1497956213 | Washington Regional Medical Center | Home Health | 88 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2007-05-30 |
1083609150 | Washington Regional Medical Center | General Acute Care Hospital | 3215 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2005-09-15 |
1669877668 | Washington Regional Medical Center | Dentist | 12 E Appleby Rd, Suite 102, Fayetteville, AR 72703-3901 | 2014-11-03 |
1467658278 | Washington Regional Medical Center | General Acute Care Hospital | 3215 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2007-06-27 |
1053351031 | Washington Regional Medical Center | Ambulance | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2006-06-07 |
Street Address |
1125 N COLLEGE AVE |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982219663 | Sharon Reece | Family Medicine | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-09-10 |
1841829249 | Raad J Abbas | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-04-07 |
1356978142 | Ijanae Holman-allgood | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-24 |
1114553096 | Joshua Daniel Johnson | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-23 |
1528694544 | Jovan Collantes Baker | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-21 |
1326674458 | Rachel Frances Mauldin | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-20 |
1922634039 | Kristian Ashtin De Nagel | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-20 |
1639705775 | Jacqueline L Thorpy | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-20 |
1003442153 | Alan Michael Zeto Jr. | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-20 |
1699301747 | Marvin Go | Student in an Organized Health Care Education/Training Program | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2020-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
1720384423 | Cumberland Co. Hospital System Inc | Psychiatric Unit | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2011-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871091355 | University of Arkansas for Medical Sciences | Psychiatric Unit | 3001 W Roosevelt Rd, Little Rock, AR 72204-5658 | 2018-01-30 |
1811435894 | North Metro Medical | Psychiatric Unit | 1432 Braden Street, Jacksonville, AR 72018 | 2017-02-09 |
1790990240 | Dardanelle Community Hospital LLC | Psychiatric Unit | 200 North Third Street, Dardanelle, AR 72834 | 2007-05-10 |
1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
1659421527 | Veterans Hospital North Little Rock | Psychiatric Unit | 2713 Janet, Benton, AR 72015-2671 | 2007-01-11 |
1710931985 | Jefferson Hospital Association Inc | Psychiatric Unit | 1600 W. 40th Avenue, Pine Bluff, AR 71603-6301 | 2006-05-20 |
1710442801 | St Vincent Infirmary Medical Center | Psychiatric Unit | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-02-04 |
1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
1275029480 | John Ed Chambers Memorial Hospital, Inc | Psychiatric Unit | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-07-11 |
1851761837 | Baptist Health Hospitals | Psychiatric Unit | 1703 N Buerkle St, Stuttgart, AR 72160-3153 | 2015-10-02 |
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City | FAYETTEVILLE |
Zip Code | 72703 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.