Healthcare Provider Details

I. General information

NPI: 1508167677
Provider Name (Legal Business Name): MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5204 W REDBUD ST
ROGERS AR
72758-8936
US

IV. Provider business mailing address

5204 W REDBUD ST
ROGERS AR
72758-8936
US

V. Phone/Fax

Practice location:
  • Phone: 479-636-0110
  • Fax: 479-631-0491
Mailing address:
  • Phone: 479-636-0110
  • Fax: 479-631-0491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

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