| Mercy Family Medicine - Waldron | |
|
1341 W 6th St Waldron AR 72958-7642 | |
| (479) 637-2136 | |
| (479) 637-5411 |
| Full Name | Mercy Family Medicine - Waldron |
|---|---|
| Speciality | Clinic/Center |
| Location | 1341 W 6th St, Waldron, 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 - Waldron 5401 Ellsworth Rd Fort Smith AR 72903-3219 Ph: (479) 314-1101 | Mercy Family Medicine - Waldron 1341 W 6th St Waldron AR 72958-7642 Ph: (479) 637-2136 |
| NPI Number | 1043268451 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 02/17/2021 |
| Medicare PECOS PAC ID | 5597658005 |
|---|---|
| Medicare Enrollment ID | O20040426001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043268451 | NPI | - | NPPES |
| 100698850C | Medicaid | OK | |
| 5B332 | Other | AR | BLUECROSS BLUESHIELD |
| 146846729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sparks Clinic - Waldron Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2074 Rice St, Waldron, AR 72958 Phone: 479-637-2100 Fax: 479-637-2106 | |
Waldron Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2074 Rice Road, Waldron, AR 72958 Phone: 479-635-5300 |