# MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES

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

## Provider details

- **NPI number:** 1447699434
- **Authorized official:** BENNY J STOVER (VICE PRESIDENT-FINANCE)
- **Authorized official phone:** (479) 338-2230

## Contact information

- **Practice address:** 701 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72716-0001
- **Practice address phone:** (479) 268-7640
- **Practice address fax:** (479) 254-2951
- **Mailing address:** 701 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72716-0001
- **Mailing address phone:** (479) 268-7640
- **Mailing address fax:** (479) 254-2951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | AR | — |

## Other

- **Enumeration date:** 06/23/2013
- **Last updated:** 04/03/2018