WASHINGTON REGIONAL MEDICAL CENTER
NPI 1063407138
Psychiatric Unit in Fayetteville, AR

Active since September 15, 2005CLIA 04D1000882 · Accreditation
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 713-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Washington Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASHINGTON REGIONAL MEDICAL CENTER (NPI 1063407138) is a healthcare organization registered as a psychiatric unit in Fayetteville, Arkansas and active in the NPI registry since September 2005. The organization holds an CLIA Accreditation certificate valid through October 14, 2026 and lists Dan Eckels, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1063407138
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameWASHINGTON REGIONAL MEDICAL CENTER
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address1125 N College AveFayetteville, AR 72703-1908 · (479) 713-1000
Organization SubpartNo
Authorized OfficialDan EckelsSr Vp & Cfo · (479) 463-5000
Enumeration DateSeptember 15, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1063407138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
License Licensed in AR · AR4099
Definition
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.
1125 N COLLEGE AVE, Fayetteville, AR 72703

Other Identifiers 1

OtherAR4099State Licensure

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 04D1000882

Washington Regional Medical Center · Fayetteville, AR
Active · expires Oct 14, 2026
CLIA Number04D1000882
Laboratory TypeHospital
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorDr. Matthew A. Jeffreys
Laboratory Phone(479) 713-1000
Laboratory LocationWashington Regional Medical Center3215 N North Hills Blvd, Fayetteville, AR 72703
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Washington Regional Medical Center's NPI number?

The NPI number for Washington Regional Medical Center is 1063407138. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Washington Regional Medical Center located?

Washington Regional Medical Center is located at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 713-1000.

What is Washington Regional Medical Center's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

Does Washington Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D1000882) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Washington Regional Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.