Organization
MERCY HOSPITAL BOONEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN CLOUSE DAY (VP FINANCE)
(417) 820-8439
Entity
Organization
Contact information
Practice address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
Mailing address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200700880A
—
OK
05
—
204253105
—
AR
Enumeration date
10/15/2013
Last updated
09/16/2021
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