# MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES

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

## Provider details

- **NPI number:** 1407266760
- **Authorized official:** BENNY J STOVER (VICE PRESIDENT-FINANCE)
- **Authorized official phone:** (479) 338-2230

## Contact information

- **Practice address:** 1110 W ROBINSON AVE, SPRINGDALE, AR 72764-6233
- **Practice address phone:** (479) 751-8440
- **Practice address fax:** (751) 751-8417
- **Mailing address:** 1110 W ROBINSON AVE, SPRINGDALE, AR 72764-6233
- **Mailing address phone:** (479) 751-8440
- **Mailing address fax:** (751) 751-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2014
- **Last updated:** 04/03/2018