# MERCY HOSPITAL BOONEVILLE

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

## Provider details

- **NPI number:** 1720417066
- **Authorized official:** SHERRY LYNN CLOUSE DAY (VP FINANCE)
- **Authorized official phone:** (417) 820-8439

## Contact information

- **Practice address:** 351 E PRIDDY ST, MAGAZINE, AR 72943-8503
- **Practice address phone:** (479) 969-8640
- **Mailing address:** 880 W MAIN ST, BOONEVILLE, AR 72927-3443
- **Mailing address phone:** (479) 969-8640

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 09/16/2021