Organization
MERCY HOSPITAL WALDRON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN CLOUSE DAY (VP FINANCE MERCY CAH)
(417) 820-8439
Entity
Organization
Contact information
Practice address
1341 W 6TH ST, WALDRON, AR 72958-7642
(479) 314-6100
(479) 314-1770
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6100
(479) 314-1770
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR4196
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100698850A
—
OK
05
—
105514105
—
AR
01
—
11305
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/30/2006
Last updated
02/17/2021
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