NPIMap

Organization Active NPI

Mercy Clinic Fort Smith Communities

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1023346202
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MERCY CLINIC FORT SMITH COMMUNITIES
Practice address
7001 Rogers Ave
Suite 401a
Fort Smith, AR 72903-4073
Phone
(479) 314-4650
Fax
(479) 452-9459
NPI assigned
Nov 25, 2009
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Greta Wilcher Jr.
Title
Cfo
Phone
(479) 831-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

7001 Rogers Ave
Suite 401a
Fort Smith, AR 72903-4073

Mailing address

2901 S 74TH St
Fort Smith, AR 72903-5156
Phone (479) 314-1101

Other names 1

  • Mercy Clinic Cardiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100304000134 AR Part B Supplier - Clinic/Group Practice 3870668510 Receives reassigned benefits from 64 practitioners
Practice locations: Booneville, AR; Clarksville, AR; Fort Smith, AR; Forth Smith, AR
O20111004000298 OK Part B Supplier - Clinic/Group Practice 3870668510 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Poteau, OK; Tulsa, OK; Sallisaw, OK; Roland, OK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0904306Mercy Clinic Cardiology7001 Rogers Ave, Suite 401, Fort Smith, AR 72903Certificate of waiverAug 14, 2027
04D2161826Mercy Clinic Cardiology7001 Rogers Ave, Suite 503, Fort Smith, AR 72903Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

106 W Ray Fine Blvd
Bldg 3
Roland, OK 74954
Phone (918) 571-4322

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 72

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1023346202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S 74TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035156",
            "telephone_number": "479-314-1101",
            "fax_number": "479-314-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE",
            "address_2": "SUITE 401A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034073",
            "telephone_number": "479-314-4650",
            "fax_number": "479-452-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC FORT SMITH COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-831-7464",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.