| Organization Name: | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| NPI Number: | 1083924294 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONN E. SORENSEN (EXECUTIVE VICE PRESIDENT, COO) |
| Mailing Address: | 1000 W Trimble Ave Berryville |
| State: | AR US |
| Postal Code: | 726164603 |
| Phone Number: | 8704234472 |
| Fax Number: | 8704237178 |
| NPI Enumeration Date: | 10/21/2010 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |