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MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1538195508


NPI Information

NPI: 1538195508
Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES

Doing Business As: MERCY CLINIC-HOLIDAY ISLAND

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1 PARK DR
SUITE C
HOLIDAY ISLAND, AR
ZIP 72631
Phone: (479) 363-9174
Get Directions

MERCY CLINIC SPRINGFIELD COMMUNITIES is a family medicine in Holiday Island, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1538195508. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic-holiday Island.

The provider's business location address is:

1 PARK DR
SUITE C
HOLIDAY ISLAND, AR
ZIP 72631-216
Phone: (479) 363-9174
Fax: (479) 363-9175

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 6/23/2006 and was last updated on 10/10/2013.


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
1207Q00000XFamily MedicineE1025ARKANSASYes

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
1141392002MEDICAIDARKANSAS
25B889MEDICARE PINARKANSAS

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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