Organization
ST. EDWARD MERCY MEDICAL CENTER
Active
Other names
Mercy Northside Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E NEWMAN (SENIOR VICE PRESIDENT/ CFO)
(479) 314-6100
Entity
Organization
Contact information
Practice address
3202 N 6TH ST, FORT SMITH, AR 72904-4164
(479) 314-6100
(479) 314-1770
Mailing address
PO BOX 17000, FORT SMITH, AR 72917-7000
(479) 314-6100
(479) 314-1770
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B820
BCBS
AR
Enumeration date
05/03/2006
Last updated
07/21/2022
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