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MERCY CLINIC FORT SMITH COMMUNITIES NPI 1134425721


NPI Information

NPI: 1134425721
Provider Name: MERCY CLINIC FORT SMITH COMMUNITIES

Other Name: MERCY URGENT CARE - RIVER VALLEY

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 04D2290633

Address:
3500 WE KNIGHT DRIVE
FORT SMITH, AR
ZIP 72903
Phone: (479) 709-8686
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MERCY CLINIC FORT SMITH COMMUNITIES is an urgent care clinic center in Fort Smith, AR. MERCY CLINIC FORT SMITH COMMUNITIES NPI is 1134425721. The provider is registered as an organization entity type.
The provider Other Name Is Mercy Urgent Care - River Valley.

The provider's business location address is:

3500 WE KNIGHT DRIVE
FORT SMITH, AR
ZIP 72903-248
Phone: (479) 709-8686
Fax: (479) 709-8687

The provider's authorized official is Raymond Cole Goodman .
The authorized official title is President and has the following contact phone number (479) 314-6100.

The CLIA number assigned to this NPI record is 04D2290633 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2011 and was last updated on 5/1/2012.


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
1261QU0200XClinic/CenterUrgent CareYes

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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