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Organization

MERCY HOSPITAL ROGERS

Active
Other names
Mercy Hospital Northwest Arkansas
Organization subpart
No

Provider details

NPI number
Authorized official
GRETA WILCHER (CFO)
(479) 314-6104
Entity
Organization

Contact information

Practice address
2710 RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-2906
Mailing address
2710 RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-2906

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
282N00000X
General Acute Care Hospital
Primary
2990
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012194304
MO
05
071512001
TX
05
0866460
OH
05
0987149
IA
01
10010
AR BLUE CROSS BLUE SHIELD
AR
05
100102890A
KS
05
100698730A
OK
05
101109105
AR
05
1765261
LA
05
95007597
CO
Enumeration date
04/20/2006
Last updated
04/08/2025
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