Organization
MERCY HOSPITAL BOONEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN CLOUSE DAY (VP FINANCE)
(417) 820-8439
Entity
Organization
Contact information
Practice address
128 DANIEL AVENUE, BOONEVILLE, AR 72927
(479) 675-2800
Mailing address
128 DANIEL AVENUE, BOONEVILLE, AR 72927
(479) 675-2800
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205179729
—
AR
Enumeration date
10/24/2013
Last updated
09/16/2021
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