WASHINGTON REGIONAL MEDICAL CENTER (NPI# 1497956213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497956213 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL CENTER |
| Other Organization Name | WASHINGTON REGIONAL HOME HEALTH |
| Practice Address |
88 W Colt Square Dr Fayetteville AR 72703-2813 |
| Practice Telephone | 4794636442 |
| Practice Fax Number | 4795820147 |
| Mailing Telephone | 4794636442 |
| Mailing Fax Number | 4795820147 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | SHARON EVANS (BILLING MANAGER) |
| Authorized Official Telephone | 4794636442 |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON REGIONAL HOME HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR4138 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 114474514 | 05 | |
| AR | BLUE CROSS PROVIDER | 17102 | 01 |
| Other Name | Type Code |
|---|---|
| Washington Regional Home Health | Doing Business As Name - Organization |
| 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 |
| 1063407138 | Washington Regional Medical Center | Psychiatric Unit | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2005-09-15 |
| 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 |
88 W COLT SQUARE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992030977 | Sara Pennington | Speech-Language Pathologist | 88 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2009-10-09 |
| 1063648202 | Ashlie Nicole Oxford | Counselor | 88 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2009-06-02 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
| 1538779350 | Beas Private Home Care | Home Health | 155 Handshaker Ct, Fayetteville, GA 30215-7404 | 2020-08-06 |
| 1205455367 | Felicia M Mcdonald | Home Health | 951 S Mcpherson Church Rd Ste 103b, Fayetteville, NC 28303-5383 | 2020-04-09 |
| 1487289518 | It-s About You, Inc | Home Health | 5425 Murchison Rd Ste A, Fayetteville, NC 28311-2251 | 2020-03-09 |
| 1629617691 | Our House Inc. | Home Health | 814 Hope Mills Rd Ste B, Fayetteville, NC 28304-2223 | 2019-12-23 |
| 1063050219 | Barbara King Home Agency Inc | Home Health | 108 Hay St Ste 216, Fayetteville, NC 28301-5686 | 2019-12-18 |
| 1427691500 | Pristine Care Group, LLC | Home Health | 1507 Grandview Drive, Fayetteville, NC 28314-1806 | 2019-10-22 |
| 1558911636 | Lila Huff | Home Health | 111 Lamon St Ste 114, Fayetteville, NC 28301-4917 | 2019-09-19 |
| 1043875321 | Nurturing Hearts Home Health Care Inc. | Home Health | 185 Seawright Dr, Fayetteville, GA 30215-5292 | 2019-05-02 |
| 1982184974 | Amelias Den Personal Care Home Inc | Home Health | 101 Devant St Ste 105, Fayetteville, GA 30214-2711 | 2018-08-19 |
| Find all providers in FAYETTEVILLE | ||||
| 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.