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MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1124069877


NPI Information

NPI: 1124069877
Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES

Doing Business As: MERCY CLINIC EAR, NOSE & THROAT-BERRYVILLE

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
613 ORCHARD DR
BERRYVILLE, AR
ZIP 72616
Phone: (870) 423-4240
Get Directions

MERCY CLINIC SPRINGFIELD COMMUNITIES is an otolaryngology in Berryville, AR. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1124069877. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic Ear, Nose & Throat-berryville.

The provider's business location address is:

613 ORCHARD DR
BERRYVILLE, AR
ZIP 72616-013
Phone: (870) 423-4240
Fax: (870) 423-4241

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 6/10/2006 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
1207V00000XObstetrics & GynecologyE0693ARKANSASNo
2207Y00000XOtolaryngologyR8E81ARKANSASYes

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
1500147301MEDICAIDMISSOURI
25C895MEDICARE PINARKANSAS
3150959002MEDICAIDARKANSAS

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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