Organization Active NPI

St Edward Mercy Foundation

  • Personal Emergency Response Attendant
  • Fort Smith, AR
National Provider Identifier
1962473728
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
412 Issued in AR
Legal business name
ST EDWARD MERCY FOUNDATION
Practice address
5401 Ellsworth Rd
Fort Smith, AR 72903-3219
Phone
(479) 314-6100
Fax
(479) 314-1770
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mrs. Greta Wilcher
Title
VP/Cfo
Phone
(479) 314-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 146D00000X 412 AR Primary

Addresses

Primary practice location

5401 Ellsworth Rd
Fort Smith, AR 72903-3219

Mailing address

5401 Ellsworth Rd
Fort Smith, AR 72903-3219
Phone (479) 314-6100

Other identifiers 2

IdentifierTypeStateIssuer
120856754MedicaidAR
100792800AMedicaidOK

National Provider Directory

National Provider Directory

Locations

5401 Ellsworth Rd
Fort Smith, AR 72903
Phone (479) 314-1101

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": "1234828800000",
    "number": "1962473728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 MERCY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "479-314-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "AR",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120856754",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100792800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.