MERCY CLINIC FORT SMITH COMMUNITIES
NPI 1790258002
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Smith, AR
NPI Status: Active since January 09, 2019
Contact Information
2901 S 74TH ST
FORT SMITH, AR
ZIP 72903
Phone: (479) 338-4135
- Organization
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
- CLIA Number: 04D2314033
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-11-2026
About MERCY CLINIC FORT SMITH COMMUNITIES
This page provides the complete NPI Profile along with additional information for Mercy Clinic Fort Smith Communities, an internist established in Fort Smith, Arkansas operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1790258002 assigned on January 2019. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Greta Wilcher (Cfo)
- NPI
- 1790258002
- Provider Name
- MERCY CLINIC FORT SMITH COMMUNITIES
- Entity Type
- Organization
- Location Address
- 2901 S 74TH ST FORT SMITH, AR 72903
- Location Phone
- (479) 338-4135
- Mailing Address
- PO BOX 776075 CHICAGO, IL 60677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2019
- Last Update Date
- 04-30-2025
- Code Navigator
An internist like Mercy Clinic Fort Smith Communities is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2314033
- Facility Type
- Physician Office
- Certificate Effective Date
- November 12, 2024
- Certificate Expiration Date
- November 11, 2026
- Laboratory Director
- JEFFRY S. BLACKWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Clinic Fort Smith Communities to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 2 | 5 | 8 | 0 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 4 | 5 | 16 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 4 + 5 + 1 + 6 + 0 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1790258002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285916627 | AASHISH NEUPANE M.D. Individual | Internal Medicine (Critical Care Medicine) | 2901 S 74TH ST FORT SMITH, AR 72903 (479) 314-7463 |
| 1174814727 | MRS. EMILY ANNE WILLIAMS M.D. Individual | Emergency Medicine | 2901 S 74TH ST FORT SMITH, AR 72903 (479) 314-1101 |
| 1174627665 | SPARKS MEDICAL FOUNDATION Organization | Durable Medical Equipment & Medical Supplies | 2901 S 74TH ST FORT SMITH, AR 72903 (479) 709-7337 |
| 1700589108 | DILBAG KAUR Individual | Student in an Organized Health Care Education/Training Program | 2901 S 74TH ST FORT SMITH, AR 72903 (479) 573-3842 |
| 1902073620 | MERCY CLINIC FORT SMITH COMMUNITIES Organization | Clinic/Center (Multi-Specialty) | 2901 S 74TH ST FORT SMITH, AR 72903 (479) 314-1101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790258002, enumerated in the NPI registry as an "organization" on January 09, 2019
The provider is located at 2901 S 74th St Fort Smith, Ar 72903 and the phone number is (479) 338-4135
This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism
The provider's CLIA number is 04D2314033 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 09, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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