Organization
MERCY HOSPITAL FORT SMITH
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
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6100
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
412
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105810514
—
AR
01
—
17011
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/31/2006
Last updated
02/16/2021
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