MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI 1083924294

NPI Information

  • NPI: 1083924294
  • Provider Name: MERCY CLINIC-SPRINGFIELD COMMUNITIES
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: MERCY CLINIC-BERRYVILLE-WALMART
  • Address: 1000 W TRIMBLE AVE
    BERRYVILLE, AR
    ZIP 72616
  • Phone: (870) 423-4472

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NPI Details

MERCY CLINIC-SPRINGFIELD COMMUNITIES is a family nurse practitioner in Berryville, AR. MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI is 1083924294. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic-berryville-walmart.

The provider's business location address is:

1000 W TRIMBLE AVE
BERRYVILLE, AR
ZIP 72616-603
Phone: (870) 423-4472
Fax: (870) 423-7178

The provider's authorized official is Donn E. Sorensen .
The authorized official title is Executive Vice President, Coo and has the following contact phone number (417) 820-6556.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 8/13/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyA01264ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11083924294MEDICAIDARKANSAS
25G709MEDICARE 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: 3/30/2025

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