Organization
MERCY HOSPITAL WALDRON
Active
Other names
Mercy Family Medicine - Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN CLOUSE DAY (VP FINANCE MERCY CAH)
(417) 820-8439
Entity
Organization
Contact information
Practice address
100 N WALNUT AVE STE A, MANSFIELD, AR 72944-3522
(479) 928-4404
(479) 928-4414
Mailing address
5401 ELLSWORTH RD, FORT SMITH, AR 72903-3219
(479) 314-1101
(479) 314-4740
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
AR4196
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162620729
—
AR
01
—
5F644
BLUE CROSS BLUESHIELD
AR
Enumeration date
06/06/2006
Last updated
02/17/2021
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