MERCY HOSPITAL BOONEVILLE
NPI 1235567504
Medicare Defined Swing Bed Unit in Booneville, AR

NPI Status: Active since October 24, 2013

Contact Information

880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
Phone: (479) 675-2800

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance
  • CLIA Number: 04D0469307
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-02-2027

About MERCY HOSPITAL BOONEVILLE

This page provides the complete NPI Profile along with additional information for Mercy Hospital Booneville, a provider established in Booneville, Arkansas operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1235567504 assigned on October 2013. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Sherry Lynn Clouse Day (Vp Finance)

NPI
1235567504
Provider Name
MERCY HOSPITAL BOONEVILLE
Entity Type
Organization
Location Address
880 W MAIN ST BOONEVILLE, AR 72927
Location Phone
(479) 675-2800
Mailing Address
880 W MAIN ST BOONEVILLE, AR 72927
Mailing Phone
(479) 675-2800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2013
Last Update Date
09-16-2021
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHERRY LYNN CLOUSE DAY

Authorized Official Title
VP FINANCE
Authorized Official Phone
(417) 820-8439

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
04D0469307
Facility Type
Hospital
Certificate Effective Date
June 03, 2025
Certificate Expiration Date
June 02, 2027
Laboratory Director
DR. JAMES J. BABCOCK
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Mercy Hospital Booneville after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MERCY HOSPITAL BOONEVILLE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235567504, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 0 + 6 + 1 + 4 + 5 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1235567504.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Surgery
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner (Family)
880 W MAIN ST
BOONEVILLE, AR 72927
Home Health
880 W MAIN ST
BOONEVILLE, AR 72927
General Acute Care Hospital (Critical Access)
880 W MAIN ST
BOONEVILLE, AR 72927
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner
880 W MAIN ST
BOONEVILLE, AR 72927
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner (Gerontology)
880 W MAIN ST
BOONEVILLE, AR 72927
Emergency Medicine
880 W MAIN ST
BOONEVILLE, AR 72927
Nurse Anesthetist, Certified Registered
880 W MAIN ST
BOONEVILLE, AR 72927
Family Medicine
880 W MAIN ST
BOONEVILLE, AR 72927

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235567504, enumerated as an "organization" on October 24, 2013.

The provider is located at 880 W MAIN ST BOONEVILLE, AR 72927 and the phone number is (479) 675-2800.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.