Healthcare Provider Details

I. General information

NPI: 1730137134
Provider Name (Legal Business Name): MERCY HOSPITAL WALDRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 W 6TH ST
WALDRON AR
72958-7642
US

IV. Provider business mailing address

PO BOX 17000
FORT SMITH AR
72917-7000
US

V. Phone/Fax

Practice location:
  • Phone: 479-314-6100
  • Fax: 479-314-1770
Mailing address:
  • Phone: 479-314-6100
  • Fax: 479-314-1770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License NumberAR4196
License Number StateAR

VIII. Authorized Official

Name: SHERRY CLOUSE DAY
Title or Position: VP-FINANCE MERCY CAH
Credential:
Phone: 417-820-8439