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MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1164064168


NPI Information

NPI: 1164064168
Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 04D0468429

Address:
613 ORCHARD DR
BERRYVILLE, AR
ZIP 72616
Phone: (870) 423-6661
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MERCY CLINIC SPRINGFIELD COMMUNITIES is an endocrinology and diabetes and metabolism internal medicine in Berryville, AR. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1164064168. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

613 ORCHARD DR
BERRYVILLE, AR
ZIP 72616-013
Phone: (870) 423-6661
Fax: (870) 423-4374

The provider's authorized official is Scott R Reynolds .
The authorized official title is Cfo and has the following contact phone number (417) 820-2818.

The CLIA number assigned to this NPI record is 04D0468429 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 10/10/2019.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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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