MEDICARE: ST EDWARD MERCY FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146D00000X	Personal Emergency Response Attendant	412	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962473728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST EDWARD MERCY FOUNDATION

Provider Business Mailing Address
First Line	:	5401 ELLSWORTH RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3219
Country	:	US
Telephone Number	:	479-314-6100
Fax Number	:	479-314-1770

Provider Business Practice Location Address
First Line	:	5401 ELLSWORTH RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3219
Country	:	US
Telephone Number	:	479-314-6100
Fax Number	:	479-314-1770

Authorized Official
Title or Position	:	VP/CFO
Name	:	MRS. GRETA WILCHER
Credential	:
Telephone Number	:	479-314-6100

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	02/17/2009

Similar Medicare Providers

1760440143 — ST. EDWARD MEDICAL SERVICES, INC
Practice Location Address:

5401 ELLSWORTH RD
FORT SMITH, AR
72903-3219

Practice Phone: 479-314-6100
Practice Fax: 479-314-1770

1710913108 — PERFORMANCE PHYSICAL THERAPY GROUP
Practice Location Address:

3219 S 70TH ST , SUITE 2
FORT SMITH, AR
72903-5051

Practice Phone: 479-443-4441
Practice Fax:

1841717519 — MERCY HOSPITAL FORT SMITH
Practice Location Address:

5401 ELLSWORTH RD
FORT SMITH, AR
72903-3219

Practice Phone: 479-314-7530
Practice Fax: 479-314-7531

1528780343 — TAYLOR ROBERTS APRN
Practice Location Address:

5401 ELLSWORTH RD STE 109
FORT SMITH, AR
72903-3219

Practice Phone: 479-314-8917
Practice Fax: 479-452-2058

1831150440 — DR. TRAVIS O BRUCE M.D.
Practice Location Address:

2817 ROCK MERRITT AVE BLDG 4-3219
FORT LIBERTY, NC
28310-4613

Practice Phone: 105-703-0489
Practice Fax:

1306869342 — BARBARA JEAN KILIAN MD
Practice Location Address:

647 N MAIN ST
FORT BRAGG, CA
95437-3219

Practice Phone: 917-327-1516
Practice Fax: 866-728-2931

Directions to “ST EDWARD MERCY FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.