Organization
ST. MARY'S ROGERS MEMORIAL HOSPITAL
Active
Other names
Mercy Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON R VITIELLO (CFO)
(479) 338-2907
Entity
Organization
Contact information
Practice address
1001 W WALNUT ST, SUITE 6, ROGERS, AR 72756-3541
(479) 619-1517
(479) 619-1542
Mailing address
PO BOX 504613, SAINT LOUIS, MO 63150
(479) 619-1517
(479) 619-1542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
01/26/2009
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