NPIMap

Organization Active NPI

Mercy Northwest Arkansas Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springdale, AR
National Provider Identifier
1366922320
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC
Practice address
4962 Elm Springs Road
Suite 5
Springdale, AR 72762
Phone
(479) 318-0161
NPI assigned
Aug 20, 2018
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
Jill McCart
Title
VP- Accounting
Phone
(314) 364-3891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4962 Elm Springs Road
Suite 5
Springdale, AR 72762

Mailing address

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (314) 628-3608

Other practice location 1

2012 S Promenade Blvd
Rogers, AR 72758-9073
Phone (479) 616-1485

Other names 1

  • Mercy-GoHealth Urgent Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181129000273 AR Part B Supplier - Clinic/Group Practice 3779827993 Receives reassigned benefits from 103 practitioners
Practice locations: Bentonville, AR; Fayetteville, AR; Fort Smith, AR; Rogers, AR; Springdale, AR; Bella Vista, AR

National Provider Directory

National Provider Directory

Locations

3493 Bella Vista Way
Ste 103
Bella Vista, AR 72714
Phone (479) 265-3712

3391 N College Ave
Ste 1
Fayetteville, AR 72703
Phone (479) 439-8120

3391 N College Ave
Ste 2
Fayetteville, AR 72703
Phone (479) 439-8120

2501 Market Trce
Ste C
Fort Smith, AR 72908
Phone (479) 384-5384

6801 Phoenix Ave
Ste 1
Fort Smith, AR 72903
Phone (479) 384-5378

6801 Phoenix Ave
Ste 2
Fort Smith, AR 72903
Phone (479) 384-5378

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

4870 Elm Springs Rd
Ste 101
Springdale, AR 72762
Phone (479) 318-0161

4870 Elm Springs Rd
Ste 102
Springdale, AR 72762
Phone (479) 318-0161

Practitioners & affiliated clinicians

Practitioners 103

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 103

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1366922320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "314-628-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 ELM SPRINGS ROAD",
            "address_2": "SUITE 5",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-318-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 S Promenade Blvd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727589073",
            "country_code": "US",
            "telephone_number": "479-616-1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "MCCART",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "VP- ACCOUNTING",
        "authorized_official_telephone_number": "314-364-3891"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy-GoHealth Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springdale, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.