# MERCY CLINIC FORT SMITH COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic River Valley Musculoskeletal
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699070649
- **Authorized official:** GRETA WILCHER (CFO)
- **Authorized official phone:** (479) 831-7464

## Contact information

- **Practice address:** 3501 WE KNIGHT DR, FORT SMITH, AR 72903-6248
- **Practice address phone:** (479) 709-6700
- **Practice address fax:** (479) 790-6709
- **Mailing address:** 2901 S 74TH ST, FORT SMITH, AR 72903-5156
- **Mailing address phone:** (479) 314-1101
- **Mailing address fax:** (479) 314-4704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 04/30/2025

## 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 |