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Organization

MERCY AMBULATORY SURGERY CENTER, LLC

Active
Other names
Mercy Outpatient Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MONTE A WILSON (PRESIDENT)
(479) 314-5722
Entity
Organization

Contact information

Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6275
(479) 314-6276
Mailing address
PO BOX 17009, FORT SMITH, AR 72917-7009
(479) 314-6275
(479) 314-6276

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
08/26/2005
Last updated
08/22/2020
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