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Mercy Hospital Berryville

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Berryville, AR

NPI 1487692240 · NPPES record last updated Sep 16, 2021

Key facts

NPI
1487692240
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
AR4317 (AR)
Legal business name
MERCY HOSPITAL BERRYVILLE
Practice address
214 Carter St
Berryville, AR 72616-4303
Phone
(870) 423-3355
Fax
(870) 423-5268
NPI assigned
Jun 3, 2006
Organization subpart
No

Authorized official

Name
Sherry Lynn Clouse Day
Title
VP Finance
Phone
(417) 820-8439

Owners & managing parties with NPI records 8

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 4

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

Member of 1

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 116

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 116

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Hospital certification: CCN 04Z329

Legal name
MERCY HOSPITAL BERRYVILLE
Doing business as
MERCY HOSPITAL BERRYVILLE
Organization structure
Corporation · Non-profit
Incorporated
Dec 31, 1996 in AR
Enrollment address
214 Carter St
Berryville, AR 72616-4303
Other Hospital Practice Location

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Cabrini Koelsch
Individual 		Corporate Officer Jul 1, 2018
Charles R. Horton
Individual 		Corporate Director
Board Member		 Jul 1, 2020
Scott Snow Cooper
Individual 		Corporate Director
Board Member		 Jul 1, 2022
Jamie Wilke
Individual 		Corporate Officer
Secretary		 Jul 1, 2024
Mercy Health Northwest Arkansas Communities
Organization · Rogers, AR
Corporation, For-profit, Non-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Jul 1, 2018 100%
Jennifer Cohen
Individual 		W-2 Managing Employee
Director		 May 27, 2025
Jason Wildman
Individual 		Corporate Director
Board Member		 Jul 1, 2022
Richard L Taylor
Individual 		Corporate Director Jul 1, 2017
Clifford Dean Lee
Individual 		Corporate Director
Board Member		 Jul 1, 2022
Linda Tamayo
Individual 		Corporate Director
Board Member		 Jul 1, 2022
Mercy Health
Organization · Chesterfield, MO
Created for acquisition, Corporation, Non-profit, Chain home office 		5% Or Greater Direct Ownership Interest Nov 8, 2007 100%
David Teigen
Individual 		Corporate Director
Board Member		 Jun 1, 2025
Troy Johnson
Individual 		Corporate Director
Board Member		 Jul 1, 2020
Melissa Casey
Individual 		Corporate Director
Board Member		 Jul 1, 2022
Sherry Clouse Day
Individual 		Corporate Officer
Treasurer		 Jan 1, 2021
W-2 Managing Employee Jan 1, 2021
Brian Day
Individual 		Corporate Officer
Senior Vice President		 Jun 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061215000475 AR Part a Provider - Critical Access Hospital 9032022769 Practice locations: Berryville, AR

National Provider Directory

Tax ID family
Mercy Hospital Berryville (5 organizations share this tax ID)

Locations

211 Carter St
Berryville, AR 72616
Phone (417) 869-3200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X AR4317 AR Yes

Addresses

Primary practice location

214 Carter St
Berryville, AR 72616-4303

Mailing address

214 Carter St
Berryville, AR 72616-4303
Phone (870) 423-3355

Other names

  • Mercy Hospital Berryville Doing business as

Other providers in Berryville, AR

All providers in Berryville, AR · Medicare Defined Swing Bed Hospital Unit in Arkansas

Sources for this page

Verify at the official NPI Registry.