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WASHINGTON REGIONAL URGENT CARE
NPI 1700297033
General Practice in Fayetteville, AR

Active since May 08, 2014CLIA 04D2235261 · Waiver
3 E. APPLEBY ROAD, SUITE 101, FAYETTEVILLE, AR 72703(479) 404-1010(479) 404-1011 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Washington Regional Urgent Care NPPES

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

WASHINGTON REGIONAL URGENT CARE (NPI 1700297033) is a healthcare organization registered as a general practice in Fayetteville, Arkansas and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists James Shackelford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700297033
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWASHINGTON REGIONAL MEDICAL SYSTEM
Location Address3 E. APPLEBY ROAD, SUITE 101Fayetteville, AR 72703
Mailing AddressPo Box 550Lowell, AR 72745-0550 · (479) 463-7775 · Fax (479) 463-7187
Phone(479) 404-1010
Fax(479) 404-1011
Organization SubpartNo
Authorized OfficialJames ShackelfordCeo · (479) 463-6004
Enumeration DateMay 8, 2014
Last NPPES UpdateJanuary 24, 2018
✔ NPI 1700297033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3 E. APPLEBY ROAD, Fayetteville, AR 72703
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Other Names 1

Doing Business AsWashington Regional Urgent Care

Group Practice 1

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

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 04D2235261

Washington Regional Urgent Care-Fayetteville Urgent Team Of Arkansas Physicians LLC · Fayetteville, AR
Active · expires Sep 7, 2027
CLIA Number04D2235261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorMs. Jennifer Shipman
Laboratory Phone(479) 718-6470
Laboratory LocationWashington Regional Urgent Care-Fayetteville Urgent Team Of Arkansas Physicians LLC2069 N Crossover Road Suite 2, Fayetteville, AR 72703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 System's NPI number?

The NPI number for Washington Regional Medical System is 1700297033. It was assigned to this organization in the NPPES registry on May 8, 2014. The provider is doing business as Washington Regional Urgent Care.

Where is Washington Regional Medical System located?

Washington Regional Medical System is located at 3 E. Appleby Road Suite 101, Fayetteville, AR 72703. The listed phone number is (479) 404-1010.

What is Washington Regional Medical System's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Washington Regional Medical System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2235261) is associated with this NPI, valid through September 7, 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 Medical System was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.