| Mercy Clinic Family Medicine-green Forest | |
|
100 Medical Cir Green Forest AR 72638-3802 | |
| (870) 438-5216 | |
| (870) 438-5768 |
| Full Name | Mercy Clinic Family Medicine-green Forest |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Medical Cir, Green Forest, Arkansas |
| Authorized Official Name and Position | Stuart G. Stangeland (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Family Medicine-green Forest Po Box 505164 Saint Louis MO 63150-5164 Ph: (417) 829-4620 | Mercy Clinic Family Medicine-green Forest 100 Medical Cir Green Forest AR 72638-3802 Ph: (870) 438-5216 |
| NPI Number | 1053347807 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053347807 | NPI | - | NPPES |
| 125540002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E0234 (Arkansas) | Primary |
Boston Mountain Rural Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 West Main St, Green Forest, AR 72638 Phone: 870-438-6500 Fax: 870-438-6615 |