Mercy Clinic River Valley Therapy Services
LBN: St. Edward Mercy Clinic, Inc.
Mercy Clinic River Valley Therapy Services is an health care organization with primary practice located at 3501 We Knight Drive , Fort Smith AR 72903-6248. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
St. Edward Mercy Clinic, Inc. 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 Drive
Fort Smith AR 72903-6248
Phone: (479) 709-6700
Fax: (479) 709-6709
Website:
Authorized official contact:
Name: Goodman, Raymond Cole Doctor of Medicine (MD)
Phone: (479) 314-6100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1730486556 |
|---|---|
| LBN Legal business name | St. Edward Mercy Clinic, Inc. |
| DBA Doing business as | Mercy Clinic River Valley Therapy Services |
| Authorized official | Goodman, Raymond Cole Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Dec 2nd, 2011 - about 13 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 | 1730486556 | NPPES |
| Arkansas | Other | 5G410 | BLUE CROSS BLUE SHIELD |
| Arkansas | MEDICAID | 200199350J | BLUE CROSS BLUE SHIELD |
| Arkansas | Other | DR1533 | BLUE CROSS BLUE SHIELD |
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