NPIMap

Organization Active NPI

Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
National Provider Identifier
1568433480
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
412 Issued in AR
Legal business name
MERCY HOSPITAL FORT SMITH
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(479) 314-6100
Fax
(479) 314-1770
NPI assigned
Jan 30, 2006
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Ms. Greta Wilcher
Title
Cfo
Phone
(479) 314-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 412 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6100

Other identifiers 3

IdentifierTypeStateIssuer
100698690AMedicaidOK
105691105MedicaidAR
10062OtherARBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040220000333 AR Part B Supplier - Clinic/Group Practice 4284529942 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR
O20050218000320 AR Part A Provider - Hospital 4284529942 Practice locations: Fort Smith, AR
O20210604000634 MO Part B Supplier - Clinic/Group Practice 4284529942 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568433480. Details of each certification follow.

Hospital certification: CCN 040062

Legal name
MERCY HOSPITAL FORT SMITH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 28, 2021
Beds
360
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 25, 1973 in AR
Enrollment address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital Fort SmithCCN 040062 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Edward Mercy Medical6 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.

Member of 1

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

Member organizations 27

Organizations listed as members of this organization in the National Provider Directory.

View all 27

Locations

3300 S 70th St
Fort Smith, AR 72903
Phone (479) 484-5511

3601 S 79th St
Fort Smith, AR 72903
Phone (479) 314-4723

3601 We Knight Dr
Fort Smith, AR 72903
Phone (479) 314-4723

5501 Euper Ln
Fort Smith, AR 72903
Phone (479) 314-6000

6301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 274-3121

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7610 Dallas St
Fort Smith, AR 72903
Phone (479) 314-6186

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Mercy Health Fort Smith Communities Organization, Fort Smith, AR Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 12, 2007 100%
John M Mohart Individual Corporate Director Jul 1, 2021
Ryan Gehrig Individual Corporate OfficerPresident Apr 10, 2012
Jennifer Cohen Individual W-2 Managing EmployeeDirector May 27, 2025
Dominic M Meldi Individual Corporate DirectorBoard Member Jan 9, 2026
Greta Wilcher McDonald Individual Corporate OfficerTreasurer Jun 1, 2025
W-2 Managing EmployeeCfo Jan 22, 2008
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Nov 12, 2007 100%
Jennifer Brown Individual Corporate OfficerSecretary Jan 1, 2026
Patricia Gelbach Individual Corporate DirectorBoard Member Jan 9, 2026
David G Argueta Individual Corporate DirectorBoard Member Jan 9, 2026

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 14

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

FacilityTypeRoleSince
Mercy Hospital OzarkOzark, AR, CCN 041303 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2007
Mercy Hospital WaldronWaldron, AR, CCN 041305 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2007
Mercy Hospital ParisParis, AR, CCN 041300 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2007
Mercy Hospital WaldronWaldron, AR, CCN 04Z305 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 13, 2007
Mercy Hospital ParisParis, AR, CCN 04Z300 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2007
Mercy Hospital OzarkOzark, AR, CCN 04Z303 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2007
Mercy Hospital BoonevilleBooneville, AR, CCN 041318 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Mercy Hospital BoonevilleBooneville, AR, CCN 04Z318 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Mercy Rehabilitation HospitalFort Smith, AR, CCN 043037 Hospital 5% Or Greater Direct Ownership Interest (49.5%) May 25, 2021
Mercy Hospital Waldron-Waldron Family MedicineWaldron, AR, CCN 043488 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 11, 2007
Mercy Hospital Waldron-Mansfield Family MedicineMansfield, AR, CCN 043493 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 24, 2012
Mercy Hospital Booneville Primary Care-MagazineMagazine, AR, CCN 048502 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Mercy Hospital Booneville Primary CareBooneville, AR, CCN 043491 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Mercy Hospital ParisParis, AR, CCN 048517 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2017

Owned or controlled facilities with NPI records 14

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

View all 14

Facilities with the same owner 114

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

View all 114

Practitioners & affiliated clinicians

Practitioners 202

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 202

Affiliated clinicians 692

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

View all 692

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1568433480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6100",
            "fax_number": "479-314-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6100",
            "fax_number": "479-314-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL FORT SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-314-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100698690A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105691105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10062",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.