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Organization

ST. EDWARD MEDICAL SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GRETA WILCHER (SENIOR VICE PRESIDENT/CFO)
(479) 314-6100
Entity
Organization

Contact information

Practice address
5401 ELLSWORTH RD, FORT SMITH, AR 72903-3219
(479) 314-6100
(479) 314-1770
Mailing address
PO BOX 17000, FORT SMITH, AR 72917-7000
(479) 314-6100
(479) 314-1770

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
412
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5F341
BCBS
AR
Enumeration date
05/03/2006
Last updated
03/19/2008
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