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MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1053346270


NPI Information

NPI: 1053346270
Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES

Doing Business As: MERCY CLINIC GENERAL SURGERY-BERRYVILLE

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
211 CARTER ST
BERRYVILLE, AR
ZIP 72616
Phone: (870) 423-3338
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MERCY CLINIC SPRINGFIELD COMMUNITIES is a surgery in Berryville, AR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1053346270. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic General Surgery-berryville.

The provider's business location address is:

211 CARTER ST
BERRYVILLE, AR
ZIP 72616-303
Phone: (870) 423-3338
Fax: (870) 423-7330

The provider's authorized official is Stuart G. Stangeland .
The authorized official title is Senior Vice President/coo and has the following contact phone number (417) 820-6556.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryE3867ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C760MEDICARE PINARKANSAS
2131369004MEDICAIDARKANSAS
3500268008MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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