Healthcare Provider Details

I. General information

NPI: 1689594046
Provider Name (Legal Business Name): WASHINGTON REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 N NORTHHILLS BLVD
FAYETTEVILLE AR
72703-4007
US

IV. Provider business mailing address

3215 N NORTHHILLS BLVD
FAYETTEVILLE AR
72703-4007
US

V. Phone/Fax

Practice location:
  • Phone: 479-463-1122
  • Fax: 479-463-5363
Mailing address:
  • Phone: 479-463-1122
  • Fax: 479-463-5363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J. OLMSTEAD
Title or Position: EVP, CAO & GENERAL COUNSEL
Credential:
Phone: 479-409-1368