MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC NPI 1366922320

NPI Information

NPI: 1366922320
Provider Name: MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC

Other Name: MERCY-GOHEALTH URGENT CARE

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

Specialization: Urgent Care

Address:
4962 ELM SPRINGS ROAD
SUITE 5
SPRINGDALE, AR
ZIP 72762
Phone: (479) 318-0161
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MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC is an urgent care clinic center in Springdale, AR. MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC NPI is 1366922320. The provider is registered as an organization entity type.
The provider Other Name Is Mercy-gohealth Urgent Care.

The provider's business location address is:

4962 ELM SPRINGS ROAD
SUITE 5
SPRINGDALE, AR
ZIP 72762
Phone: (479) 318-0161

The provider's authorized official is Benny Stover .
The authorized official title is Vp- Finance and has the following contact phone number (479) 338-2230.

The CLIA number assigned to this NPI record is 04D2154691 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 12/26/2018.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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: 11/14/2023

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