# MERCY CLINIC SPRINGFIELD COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164064168
- **Authorized official:** BJ ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 613 ORCHARD DR, BERRYVILLE, AR 72616-5013
- **Practice address phone:** (870) 423-6661
- **Practice address fax:** (870) 423-4374
- **Mailing address:** 613 ORCHARD DR, BERRYVILLE, AR 72616-5013
- **Mailing address phone:** (870) 423-6661
- **Mailing address fax:** (870) 423-4374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 04/30/2025