MERCY HOSPITAL WALDRON NPI 1043268451

NPI Information

NPI: 1043268451
Provider Name: MERCY HOSPITAL WALDRON

Other Name: MERCY FAMILY MEDICINE - WALDRON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1341 W 6TH ST
WALDRON, AR
ZIP 72958
Phone: (479) 637-2136
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MERCY HOSPITAL WALDRON is a rural health clinic center in Waldron, AR. MERCY HOSPITAL WALDRON NPI is 1043268451. The provider is registered as an organization entity type.
The provider Other Name Is Mercy Family Medicine - Waldron.

The provider's business location address is:

1341 W 6TH ST
WALDRON, AR
ZIP 72958-642
Phone: (479) 637-2136
Fax: (479) 637-5411

The provider's authorized official is Sherry Lynn Clouse Day .
The authorized official title is Vp Finance Mercy Cah and has the following contact phone number (417) 820-8439.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 2/17/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5B332	OTHER	ARKANSAS	BLUECROSS BLUESHIELD
2	146846729	MEDICAID	ARKANSAS
3	100698850C	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

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