Cardiovascular And Thoracic Surgery Washington Regional

LBN: Washington Regional Medical System
Cardiovascular And Thoracic Surgery Washington Regional is an health care organization with primary practice located at 3276 N Northhills Blvd , Fayetteville AR 72703. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Washington Regional Medical System can be contacted via phone (479) 587-1114, or through Eckels, Dan via phone (479) 463-2825.

Contact Information

Primary practice address
3276 N Northhills Blvd Fayetteville AR 72703
Fax: (479) 587-1119
Website:
Authorized official contact:
Name: Eckels, Dan

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1679552970
LBN Legal business name Washington Regional Medical System
DBA Doing business as Cardiovascular And Thoracic Surgery Washington Regional
Authorized official Eckels, Dan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 13th, 2006
Last updated Apr 3rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679552970 NPPES
Missouri MEDICAID 506707108
Missouri MEDICAID 100727330A
Missouri MEDICAID 118256002

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