Mercy Clinic River Valley Musculoskeletal
LBN: Mercy Clinic Fort Smith Communities
Mercy Clinic River Valley Musculoskeletal is an health care organization with primary practice located at 3501 We Knight Dr , Fort Smith AR 72903-6248. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Mercy Clinic Fort Smith Communities can be contacted via phone (479) 709-6700, or through Goodman, Raymond Cole via phone (479) 314-6100.
Contact Information
Primary practice address
3501 We Knight Dr
Fort Smith AR 72903-6248
Phone: (479) 709-6700
Fax: (479) 790-6709
Website:
Authorized official contact:
Name: Goodman, Raymond Cole Doctor of Medicine (MD)
Phone: (479) 314-6100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1699070649 |
|---|---|
| LBN Legal business name | Mercy Clinic Fort Smith Communities |
| DBA Doing business as | Mercy Clinic River Valley Musculoskeletal |
| Authorized official | Goodman, Raymond Cole Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2011 |
| Last updated | Jan 12th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699070649 | NPPES |
| Arkansas | MEDICAID | 186193002 | |
| Arkansas | MEDICAID | 200199350H | |
| Arkansas | Other | DR1533 | |
| Arkansas | Other | 5G406 |
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