Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
SJC-Neurosurgery-Rogers
Organization subpart
No
Provider details
NPI number
Authorized official
BJ ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
2708 RIFE MEDICAL LN, SUITE 310, ROGERS, AR 72758-1452
(479) 338-3270
(479) 338-3287
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E5600
AR
363A00000X
Physician Assistant
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
AR MEDICAID
AR
Enumeration date
08/05/2008
Last updated
04/30/2025
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