Healthcare Provider Details

I. General information

NPI: 1699016774
Provider Name (Legal Business Name): MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 S PINNACLE HILLS PKWY STE 300
ROGERS AR
72758
US

IV. Provider business mailing address

2112 S 54TH ST
ROGERS AR
72758-8169
US

V. Phone/Fax

Practice location:
  • Phone: 479-338-4600
  • Fax: 479-338-4607
Mailing address:
  • Phone: 479-338-4135
  • Fax: 479-338-6404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

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