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Organization
MERCY CLINIC FORT SMITH COMMUNITIES
Active
Organization
MERCY CLINIC FORT SMITH COMMUNITIES
Active
Other names
Mercy Clinic River Valley Musculoskeletal
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA WILCHER (CFO)
(479) 831-7464
Entity
Organization
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6248
(479) 709-6700
(479) 790-6709
Mailing address
2901 S 74TH ST, FORT SMITH, AR 72903-5156
(479) 314-1101
(479) 314-4704
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186193002
—
AR
05
—
200199350H
—
OK
01
—
5G406
BLUE CROSS BLUE SHIELD
AR
01
—
DR1533
RAILROAD MEDICARE
AR
Enumeration date
01/24/2011
Last updated
04/30/2025
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