NPIMap

Organization Active NPI

St. Mary-Rogers Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Rogers, AR
National Provider Identifier
1437266152
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ST. MARY-ROGERS MEMORIAL HOSPITAL
Practice address
1200 W Walnut St
Rogers, AR 72756-3546
Phone
(479) 986-3408
Fax
(479) 619-3388
NPI assigned
Aug 25, 2006
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
Title
Cfo
Phone
(479) 314-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1200 W Walnut St
Rogers, AR 72756-3546

Mailing address

1200 W Walnut St
Rogers, AR 72756-3546
Phone (479) 986-3408

Other identifiers 1

IdentifierTypeStateIssuer
130453002MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Jeff M Audibert6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1437266152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563546",
            "telephone_number": "479-986-3408",
            "fax_number": "479-619-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563546",
            "telephone_number": "479-986-3408",
            "fax_number": "479-619-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY-ROGERS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "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": "479-314-6104"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130453002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.