| Mercy Family Medicine - Mansfield | |
|
100 N Walnut Ave Ste A Mansfield AR 72944-3522 | |
| (479) 928-4404 | |
| (479) 928-4414 |
| Full Name | Mercy Family Medicine - Mansfield |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Walnut Ave Ste A, Mansfield, Arkansas |
| Authorized Official Name and Position | Sherry Lynn Clouse Day (VP FINANCE MERCY CAH) |
| Authorized Official Contact | 4178208439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Family Medicine - Mansfield 5401 Ellsworth Rd Fort Smith AR 72903-3219 Ph: (479) 314-1101 | Mercy Family Medicine - Mansfield 100 N Walnut Ave Ste A Mansfield AR 72944-3522 Ph: (479) 928-4404 |
| NPI Number | 1295774917 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 02/17/2021 |
| Medicare PECOS PAC ID | 5597658005 |
|---|---|
| Medicare Enrollment ID | O20060622000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295774917 | NPI | - | NPPES |
| 5F644 | Other | AR | BLUE CROSS BLUESHIELD |
| 162620729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | AR4196 (Arkansas) | Primary |