NPIMap

Organization Active NPI

Mercy Medical Health Center

Doing business as Mercy Medical Health Center of Arcadia

  • Federally Qualified Health Center (FQHC)
  • Arcadia, LA
National Provider Identifier
1184453748
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MERCY MEDICAL HEALTH CENTER
Doing business as
Mercy Medical Health Center of Arcadia
Practice address
600 Factory Outlet Dr Ste 12
Arcadia, LA 71001-3057
Phone
(318) 781-2310
Fax
(318) 781-2312
NPI assigned
Jul 31, 2024
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY MEDICAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Kimberly G. BrunsonNPI 1477785798
Title
Ceo
Phone
(318) 259-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

600 Factory Outlet Dr Ste 12
Arcadia, LA 71001-3057

Mailing address

PO Box 70
Hodge, LA 71247-0070
Phone (318) 259-1100

Other names 1

  • Mercy Medical Health Center of Arcadia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170614000398 LA Part B Supplier - Clinic/Group Practice 1557639655 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arcadia, LA; Jonesboro, LA; Ruston, LA
O20241219003963 LA Part A Provider - Federally Qualified Health Center (FQHC) 1557639655 Practice locations: Arcadia, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184453748. Details of each certification follow.

Federally qualified health center certification: CCN 191881

Legal name
MERCY MEDICAL HEALTH CENTER
Doing business as
MERCY MEDICAL HEALTH CENTER OF ARCADIA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 12, 2024
Last certification
Dec 12, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
600 Factory Outlet Dr
Ste 12
Arcadia, LA 71001-3057

Other NPIs with the same Medicare PAC ID 2

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.

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Health Center6 organizations share this tax ID, including this one
Part of
Mercy Medical Health Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly Brunson Individual 5% Or Greater Direct Ownership InterestCeo Nov 1, 2024
W-2 Managing EmployeeCeo Nov 1, 2024
Operational/Managerial ControlCeo Nov 1, 2024
Rennata Becks Individual Operational/Managerial ControlCoo Nov 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Medical Health CenterJonesboro, LA, CCN 191007 Federally qualified health center Operational/Managerial Control (100%) Sep 5, 2017
Mercy DentalRuston, LA, CCN 951002 Federally qualified health center Other (100%) Jan 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1184453748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HODGE",
            "state": "LA",
            "postal_code": "712470070",
            "telephone_number": "318-259-1100",
            "fax_number": "318-259-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FACTORY OUTLET DR STE 12",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013057",
            "telephone_number": "318-781-2310",
            "fax_number": "318-781-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL HEALTH CENTER",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-259-1100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Health Center of Arcadia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Medical Health Center of Arcadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, LA

Sources for this page

Verify at the official NPI Registry.