Healthcare Provider Details
I. General information
NPI: 1881106243
Provider Name (Legal Business Name): MERCY HOSPITAL PARIS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2017
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 S 5TH ST
PARIS AR
72855-4501
US
IV. Provider business mailing address
303 S 5TH ST
PARIS AR
72855-4501
US
V. Phone/Fax
- Phone: 479-963-2132
- Fax:
- Phone: 479-963-2132
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERRY
LYNN
CLOUSE DAY
Title or Position: VP FINANCE MERCY CAH
Credential:
Phone: 417-820-8439