MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1538195508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538195508 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC-HOLIDAY ISLAND |
| Practice Address |
1 Park Dr Suite C Holiday Island AR 72631-9216 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4793639174 |
| Practice Fax Number | 4793639175 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | MR. STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Telephone | 4178206556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E1025 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 141392002 | 05 |
| Other Name | Type Code |
|---|---|
| MERCY CLINIC-HOLIDAY ISLAND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659785657 | Mercy Clinic Springfield Communities | Radiology | 11701 Bee Cave Pkwy, Suite 213, Bee Cave, TX 78738-6466 | 2014-06-17 |
| 1770612590 | Mercy Clinic Springfield Communities | Nurse Practitioner | 120 Hospital Dr Ste 350, Lebanon, MO 65536-9253 | 2007-03-05 |
| 1952437675 | Mercy Clinic Springfield Communities | Family Medicine | 18598 Business 13, Branson West, MO 65737 | 2007-02-26 |
| 1811065477 | Mercy Clinic Springfield Communities | Family Medicine | 9138 O'banion St, Birch Tree, MO 65438 | 2006-12-01 |
| 1053347807 | Mercy Clinic Springfield Communities | Family Medicine | 100 Medical Cir, Green Forest, AR 72638-3802 | 2006-06-23 |
| 1740226091 | Mercy Clinic Springfield Communities | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2006-06-22 |
| 1881636884 | Mercy Clinic Springfield Communities | Psychologist | 1312 E Lark St, Springfield, MO 65804-7351 | 2006-06-12 |
| 1124069877 | Mercy Clinic Springfield Communities | Obstetrics & Gynecology | 613 Orchard Dr, Berryville, AR 72616-5013 | 2006-06-10 |
| 1245277631 | Mercy Clinic Springfield Communities | Internal Medicine | 3231 S National Ave Ste 220, Springfield, MO 65807 | 2006-06-02 |
| 1164064168 | Mercy Clinic Springfield Communities | Internal Medicine | 613 Orchard Dr, Berryville, AR 72616-5013 | 2019-10-10 |
| Street Address |
1 PARK DR SUITE C |
| City | HOLIDAY ISLAND |
| State | AR |
| Zip Code | 72631-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174064455 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2017-03-20 |
| 1356894828 | Jacquelynn Skaarup | Occupational Therapy Assistant | 1 Park Dr, Suite A, Holiday Island, AR 72631-9216 | 2016-08-01 |
| 1427421403 | Ramona Thach | Speech-Language Pathologist | 1 Park Dr, Suite A, Holiday Island, AR 72631-9216 | 2015-11-12 |
| 1043654452 | Carolyn S Gentry | Registered Nurse | 1 Park Dr, Suite A, Holiday Island, AR 72631-9216 | 2013-04-29 |
| 1720209588 | Rene Charles Duffourc IIi | Psychiatry & Neurology | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2007-05-01 |
| 1730223157 | Terry William Bushay | Dentist | 1 Park Dr, Ste D, Holiday Island, AR 72631-9216 | 2007-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
| 1003916420 | Eureka Springs Hospital | Home Health | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-25 |
| 1881171551 | Air Evac Ems, Inc. | Ambulance | 1 Park Dr Ste A, Holiday Island, AR 72631 | 2018-07-25 |
| 1881795789 | Eureka Springs Hospital | Hospice Care, Community Based | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-26 |
| 1942357405 | Green Acre Lodge Inc. | Assisted Living Facility | 89 Hillside Dr, Holiday Island, AR 72631-4618 | 2007-01-05 |
| 1518282391 | Ptworks,p.a. | Physical Therapist | 18 Green Meadow Ln Apt D, Holiday Island, AR 72631-4651 | 2010-04-05 |
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1588980437 | Edwin Wood White | Psychiatry & Neurology | 202 Ridge Rd, Eureka Springs, AR 72631-9052 | 2010-04-18 |
| 1023367752 | Ruthann Marie Tucker | Nurse Practitioner | 161 Hillcrest Rd, Eureka Springs, AR 72631-9080 | 2012-09-10 |
| 1659558609 | Andy Langston, Od, Pa | Optometrist | No 1 Park Dr Ste B, Holiday Island, AR 72631-9221 | 2008-01-22 |
| Find all providers in zip 72631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689751257 | Steve Rose | Family Medicine | 1 Parkcliff Dr, Suite C, Holiday Island, AR 72631-9234 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | HOLIDAY ISLAND |
| Zip Code | 72631 |
Please comment or provide details below to improve the information on MERCY CLINIC SPRINGFIELD COMMUNITIES.
| 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.