Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
MERCY RADIOLOGY BERRYVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
BJ ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
214 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-5263
(870) 423-5227
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R2954
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148815002
—
AR
05
—
500268008
—
MO
Enumeration date
06/15/2006
Last updated
04/30/2025
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