Basic Information
| Provider Information | |||||||||
| NPI: | 1881106243 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MERCY HOSPITAL PARIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 303 S 5TH ST | ||||||||
| Address2: | |||||||||
| City: | PARIS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 728554501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4799632132 | ||||||||
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| Practice Location | |||||||||
| Address1: | 303 S 5TH ST | ||||||||
| Address2: | |||||||||
| City: | PARIS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 728554501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4799632132 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2017 | ||||||||
| LastUpdateDate: | 02/17/2021 | ||||||||
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| AuthorizedOfficialLastName: | CLOUSE DAY | ||||||||
| AuthorizedOfficialFirstName: | SHERRY | ||||||||
| AuthorizedOfficialMiddleName: | LYNN | ||||||||
| AuthorizedOfficialTitleorPosition: | VP FINANCE MERCY CAH | ||||||||
| AuthorizedOfficialTelephone: | 4178208439 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.