MERCY HOSPITAL BERRYVILLE (NPI# 1457306326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457306326 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL BERRYVILLE |
| Other Organization Name | MERCY HOSPITAL BERRYVILLE |
| Practice Address |
214 Carter St Berryville AR 72616-4303 |
| Practice Telephone | 8704233355 |
| Practice Fax Number | 8704235268 |
| Mailing Telephone | 8704233355 |
| Mailing Fax Number | 8704235268 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | MS. KELLI HUNTLEY (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 4793382155 |
| Authorized Official Credential | AO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR4317 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101363105 | 05 | |
| MO | 010569705 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Hospital Berryville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487692240 | Mercy Hospital Berryville | Medicare Defined Swing Bed Unit | 214 Carter St, Berryville, AR 72616-4303 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL BERRYVILLE | 214 Carter St, Berryville, AR 72616-4303 |
| Street Address |
214 CARTER ST |
| City | BERRYVILLE |
| State | AR |
| Zip Code | 72616-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079440 | Jomo Osborne | Family Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2015-07-24 |
| 1356739288 | Mercy Clinic Joplin LLC | Internal Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2014-12-30 |
| 1548671415 | Lori Rose Leonhardt | Family Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2014-05-14 |
| 1972921252 | Tyler Worth Troutman | Hospitalist | 214 Carter St, Berryville, AR 72616 | 2014-04-03 |
| 1164635272 | Milo Nelson Warner | Surgery | 214 Carter St, Berryville, AR 72616-4303 | 2007-05-07 |
| 1821135690 | Richard L. Taylor | Family Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2007-01-31 |
| 1003985607 | Ozarks Regions Health Systems | Home Health | 214 Carter St, Berryville, AR 72616-4303 | 2006-11-07 |
| 1912076514 | Ozarks Regions Health Systems | Hospice Care, Community Based | 214 Carter St, Berryville, AR 72616-4303 | 2006-11-07 |
| 1285654913 | Victor A. Rozeboom | Radiology | 214 Carter St, Berryville, AR 72616-4303 | 2006-07-19 |
| 1720022510 | Mercy Clinic Springfield Communities | Radiology | 214 Carter St, Berryville, AR 72616-4303 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1700200144 | Jason Spener Mabry | Pharmacist | 1006 West Trimble Ave, Berryville, AR 72616 | 2014-02-05 |
| 1659706554 | Roxanne Garrison | Physical Therapy Assistant | 705 College Street, Carroll County Learning Center, Berryville, AR 72616 | 2013-09-10 |
| 1780978007 | Mcneal Chiropractic Ctr, Inc | Chiropractor | 601 Orchard Drive, Berryville, AR 72616 | 2011-06-03 |
| 1700176542 | Ida Linda Trice | Psychologist | 122 Rose, Berryville, AR 72616 | 2011-04-13 |
| 1649364142 | Lyman Gray Squires Jr. | Optometrist | 105 S. Springfield St., Berryville, AR 72616 | 2006-10-02 |
| 1063520955 | Jim D Blanchard | Dentist | 201 Rice St, Berryville, AR 72616 | 2006-08-29 |
| 1194833236 | Rebecca Leigh Zeleny | Social Worker | 208 Hwy 62 W, Berryville, AR 72616 | 2006-08-28 |
| 1811923741 | Kim Arehart Knapp | Genetic Counselor, MS | 208 Hwy 62 West, Berryville, AR 72616 | 2006-06-23 |
| 1043337629 | Jennifer Elizabeth Clay | Social Worker | 208 Hwy 62 W, Berryville, AR 72616 | 2007-03-26 |
| Find all providers in zip 72616 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453192 | Chicot Memorial Medical Center | General Acute Care Hospital | 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136 | 2010-03-22 |
| 1063571107 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 and 82 South, Lake Village, AR 71653 | 2006-12-06 |
| 1265448468 | Cavhs | General Acute Care Hospital | 2307 Red Bud Cv, Benton, AR 72015-4779 | 2006-07-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1295767689 | Delta Memorial Hospital | General Acute Care Hospital | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-07 |
| 1497701973 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 & 82 South, Lake Village, AR 71653 | 2006-05-26 |
| 1417913419 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560-6439 | 2006-04-26 |
| 1912978875 | Mercy Hospital Waldron | General Acute Care Hospital | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-01-30 |
| 1275504128 | Mercy Hospital Ozark | General Acute Care Hospital | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
| 1760453633 | Mercy Hospital Paris | General Acute Care Hospital | 500 E Academy St, Paris, AR 72855-4040 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
| City | BERRYVILLE |
| Zip Code | 72616 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.