Provider Type Icon

MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1720022510


NPI Information

NPI: 1720022510
Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES

Doing Business As: MERCY RADIOLOGY BERRYVILLE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
214 CARTER ST
BERRYVILLE, AR
ZIP 72616
Phone: (870) 423-5263
Get Directions

MERCY CLINIC SPRINGFIELD COMMUNITIES is a diagnostic radiology radiology in Berryville, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1720022510. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Radiology Berryville.

The provider's business location address is:

214 CARTER ST
BERRYVILLE, AR
ZIP 72616-303
Phone: (870) 423-5263
Fax: (870) 423-5227

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 6/15/2006 and was last updated on 10/29/2013.


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
12085R0202XRadiologyDiagnostic RadiologyR2954ARKANSASYes

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
15C760MEDICARE PINARKANSAS
2500268008MEDICAIDMISSOURI
3148815002MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.