Mercy Clinic Fort Smith Communities | |
2901 S 74th St Fort Smith AR 72903-5156 | |
(479) 338-4135 | |
Not Available |
Full Name | Mercy Clinic Fort Smith Communities |
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Speciality | Internal Medicine |
Location | 2901 S 74th St, Fort Smith, Arkansas |
Authorized Official Name and Position | Amy N Fore (COO) |
Authorized Official Contact | 4793141109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic Fort Smith Communities Po Box 776075 Chicago IL 60677-6075 Ph: () - | Mercy Clinic Fort Smith Communities 2901 S 74th St Fort Smith AR 72903-5156 Ph: (479) 338-4135 |
NPI Number | 1790258002 |
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Provider Enumeration Date | 01/09/2019 |
Last Update Date | 05/07/2019 |
Medicare PECOS PAC ID | 3870668510 |
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Medicare Enrollment ID | O20230220002235 |
Identifier | Type | State | Issuer |
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1790258002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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