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PACE OF THE OZARKS
NPI 1366929846
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Springdale, AR

Active since July 26, 2018CLIA 04D2132593 · Waiver
813 FOUNDERS PARK DR E STE 107, SPRINGDALE, AR 72762(479) 463-6600(479) 463-6601 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2024, Jul 26, 2018 (2 updates tracked since 2018).

About Pace Of The Ozarks NPPES

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

PACE OF THE OZARKS (NPI 1366929846) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Springdale, Arkansas and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Jack Morris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366929846
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameWASHINGTON REGIONAL MEDICORP, INC.
Location Address813 FOUNDERS PARK DR E STE 107Springdale, AR 72762-6314
Mailing Address813 Founders Park Dr E Ste 107Springdale, AR 72762-6314 · (479) 463-6600 · Fax (479) 463-6601
Phone(479) 463-6600
Fax(479) 463-6601
Organization SubpartNo
Authorized OfficialJack MorrisCeo · (479) 463-6600
Enumeration DateJuly 26, 2018
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1366929846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
813 FOUNDERS PARK DR E STE 107, Springdale, AR 72762
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Other Names 1

Doing Business AsPace Of The Ozarks

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 Waiver 04D2132593

Pace Of The Ozarks Washington Regional · Springdale, AR
Active · expires Jun 21, 2027
CLIA Number04D2132593
Laboratory TypePractitioner Other
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr. Fredrick A. Martin
Laboratory Phone(479) 463-6600
Laboratory LocationPace Of The Ozarks Washington Regional813 Founders Park Drive East, Suite 107, Springdale, AR 72762
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

NATALIE NICOLE BOURNE MS, RD, LD
Dietitian, Registered
813 FOUNDERS PARK DR E STE 107
SPRINGDALE, AR 72762
Washington County (479) 463-6615
FREDRICK ALLAN MARTIN M.D.
Family Medicine (Geriatric Medicine)
813 FOUNDERS PARK DR E STE 107
SPRINGDALE, AR 72762
Washington County (479) 463-6600

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 Medicorp, Inc.'s NPI number?

The NPI number for Washington Regional Medicorp, Inc. is 1366929846. It was assigned to this organization in the NPPES registry on July 26, 2018. The provider is doing business as Pace Of The Ozarks.

Where is Washington Regional Medicorp, Inc. located?

Washington Regional Medicorp, Inc. is located at 813 Founders Park Dr E Ste 107, Springdale, AR 72762. The listed phone number is (479) 463-6600.

What is Washington Regional Medicorp, Inc.'s specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Washington Regional Medicorp, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2132593) is associated with this NPI, valid through June 21, 2027. 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 Medicorp, Inc. was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.