Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
MERCY CLINIC-FAMILY MEDICINE BERRYVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
BJ ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
207 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-6661
(870) 423-4374
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6D08
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128620002
—
AR
05
—
501625800
—
MO
01
—
CR0464
TRAVELERS/RR MEDICARE #
AR
Enumeration date
06/22/2006
Last updated
04/30/2025
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