Healthcare Provider Details

I. General information

NPI: 1437266152
Provider Name (Legal Business Name): ST. MARY-ROGERS MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 W WALNUT ST
ROGERS AR
72756-3546
US

IV. Provider business mailing address

1200 W WALNUT ST
ROGERS AR
72756-3546
US

V. Phone/Fax

Practice location:
  • Phone: 479-986-3408
  • Fax: 479-619-3388
Mailing address:
  • Phone: 479-986-3408
  • Fax: 479-619-3388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

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