Organization
ST. EDWARD MERCY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L STEVENSON (PRESIDENT & CEO)
(479) 314-6100
Entity
Organization
Contact information
Practice address
7301 ROGERS AVE # B, FORT SMITH, AR 72903-4100
(479) 314-5511
(479) 484-7157
Mailing address
7301 ROGERS AVE # B, FORT SMITH, AR 72903-4100
(479) 314-6100
(479) 314-1770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00868
AR
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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