# MERCY HOSPITAL WALDRON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Family Medicine - Mansfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295774917
- **Authorized official:** SHERRY LYNN CLOUSE DAY (VP FINANCE MERCY CAH)
- **Authorized official phone:** (417) 820-8439

## Contact information

- **Practice address:** 100 N WALNUT AVE STE A, MANSFIELD, AR 72944-3522
- **Practice address phone:** (479) 928-4404
- **Practice address fax:** (479) 928-4414
- **Mailing address:** 5401 ELLSWORTH RD, FORT SMITH, AR 72903-3219
- **Mailing address phone:** (479) 314-1101
- **Mailing address fax:** (479) 314-4740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | AR4196 | AR | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 02/17/2021
