WEST WASHINGTON COUNTY CLINIC WASHINGTON REGIONAL (WASHINGTON REGIONAL MEDICAL SYSTEM) NPI 1639282197

Family Medicine in Lincoln, AR

NPI 1639282197 Organization Family Medicine CLIA Number 04D0468752 CLIA Certificate of Accreditation

About WEST WASHINGTON COUNTY CLINIC WASHINGTON REGIONAL (WASHINGTON REGIONAL MEDICAL SYSTEM)

West Washington County Clinic Washington Regional (washington Regional Medical System) is a primary care provider established in Lincoln, Arkansas specializing in family medicine. The NPI number of West Washington County Clinic Washington Regional (washington Regional Medical System) is 1639282197 and was assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. West Washington County Clinic Washington Regional (washington Regional Medical System) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is West Washington County Clinic Washington Regional. The authorized official of this NPI record is Dan Eckels (Cfo)

A primary care provider (PCP) like West Washington County Clinic Washington Regional sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of West Washington County Clinic Washington Regional is 04D0468752 registered as a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to West Washington County Clinic Washington Regional on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI

1639282197

Provider NameWEST WASHINGTON COUNTY CLINIC WASHINGTON REGIONAL (WASHINGTON REGIONAL MEDICAL SYSTEM)
Provider Location Address106 EAST PARK STREET LINCOLN, AR 72744
Provider Mailing AddressPO BOX 550 LOWELL, AR 72745
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWEST WASHINGTON COUNTY CLINIC WASHINGTON REGIONAL
Other Name TypeOther Name (5)
Enumeration Date08-17-2006
Last Update Date05-14-2018


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

WEST WASHINGTON COUNTY CLINIC WASHINGTON REGIONAL
106 EAST PARK STREET
LINCOLN, AR
ZIP 72744
Phone: (479) 824-3196
Fax: (479) 267-4397

Get Directions


Mailing Address

WEST WASHINGTON COUNTY CLINIC WASHINGTON REGIONAL
PO BOX 550
LOWELL, AR
ZIP 72745
Phone: (479) 463-7775
Fax: (479) 463-7187



Authorized Official

Authorized Official Name DAN ECKELS
Authorized Official TitleCFO
Authorized Official Phone(479) 463-2825

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1639282197 is:

CLIA Number04D0468752
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Accreditation

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
131551002MEDICAID (05)AR
DG1875OTHER (01)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.