Organization
ST EDWARD MERCY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETA WILCHER (VP/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
5401 ELLSWORTH RD, FORT SMITH, AR 72903-3219
(479) 314-6100
(479) 314-1770
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
412
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100792800A
—
OK
05
—
120856754
—
AR
Enumeration date
01/30/2006
Last updated
02/17/2009
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