St. Edward Medical Services, Inc

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

412 Issued in AR

Legal business name

ST. EDWARD MEDICAL SERVICES, INC

Practice address

5401 Ellsworth Rd
Fort Smith, AR 72903-3219

Phone

(479) 314-6100

Fax

(479) 314-1770

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Greta Wilcher

Title

Senior Vice President/Cfo

Phone

(479) 314-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Mercy Hospital Fort Smith

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1871564419

  Member Of

  NPD member

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1760440143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17000",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729177000",
            "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": "5401 ELLSWORTH RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033219",
            "telephone_number": "479-314-6100",
            "fax_number": "479-314-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. EDWARD MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "479-314-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "AR",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5F341",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Patricia Spring, APN
• Sprouts Therapy Center
• Keerthi Sripathi, MD
• St Edward Mercy Foundation
• St Edward Mercy Medical Center
• St. Edward Mercy Clinic, Inc.
• St. Edward Mercy Medical Center
• St. Edward Mercy Medical Center
• Stacy R Tait PA
• Sara J Staed

• Emergency Care Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Emergency Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.