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
351 E PRIDDY ST, MAGAZINE, AR 72943-8503
(479) 969-8640
Mailing address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 969-8640
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205182729
—
AR
Enumeration date
11/07/2013
Last updated
09/16/2021
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