Healthcare Provider Details

I. General information

NPI: 1396173514
Provider Name (Legal Business Name): MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2013
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCY WAY
BELLA VISTA AR
72714-3000
US

IV. Provider business mailing address

1 MERCY WAY
BELLA VISTA AR
72714-3000
US

V. Phone/Fax

Practice location:
  • Phone: 479-802-5555
  • Fax: 479-876-2829
Mailing address:
  • Phone: 479-802-5555
  • Fax: 479-876-2829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: GRETA WILCHER
Title or Position: CFO
Credential:
Phone: 479-314-6104