| Mercy Clinic-holiday Island | |
|
1 Park Dr Suite C Holiday Island AR 72631-9216 | |
| (479) 363-9174 | |
| (479) 363-9175 |
| Full Name | Mercy Clinic-holiday Island |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Park Dr, Holiday Island, Arkansas |
| Authorized Official Name and Position | Stuart G. Stangeland (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic-holiday Island Po Box 505164 Saint Louis MO 63150-5164 Ph: (417) 829-4620 | Mercy Clinic-holiday Island 1 Park Dr Suite C Holiday Island AR 72631-9216 Ph: (479) 363-9174 |
| NPI Number | 1538195508 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538195508 | NPI | - | NPPES |
| 141392002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1025 (Arkansas) | Primary |
Boston Mountain Rural Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Park Dr, Suite C, Holiday Island, AR 72631 Phone: 870-448-5101 |