| Mercy Health Northwest Arkansas Communities | |
|
2112 S 54th St Rogers AR 72758-8169 | |
| (479) 338-4135 | |
| (479) 338-6404 |
| Full Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Speciality | Internal Medicine |
| Location | 2112 S 54th St, Rogers, Arkansas |
| Authorized Official Name and Position | Benny J. Stover (VICE PRESDIDENT- FINANCE) |
| Authorized Official Contact | 4793382230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Northwest Arkansas Communities 2112 S 54th St Rogers AR 72758-8169 Ph: (479) 338-4135 | Mercy Health Northwest Arkansas Communities 2112 S 54th St Rogers AR 72758-8169 Ph: (479) 338-4135 |
| NPI Number | 1770087371 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 04/02/2018 |
| Medicare PECOS PAC ID | 0648177873 |
|---|---|
| Medicare Enrollment ID | O20181025000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770087371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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