NPI 1619219474 · live from the CMS NPI Registry
Mercy Health Northwest Arkansas Communities
Family Medicine, Hospice and Palliative Medicine in Rogers, AR. National Provider Identifier 1619219474, active.
NPI record
| NPI | 1619219474 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 2708 S Rife Medical Ln Ste T20, Rogers, AR 72758 |
| Practice phone | 479-338-3720 |
| Mailing address | 2708 Rife Medical Ln, Suite T20, Rogers, AR 72758 |
| Enumerated | March 20, 2013 |
| Last updated | April 2, 2018 |
| Authorized official | Benny Stover, Vice President-Finance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.