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DIVINE MERCY HEALTH CENTER
NPI 1609661305
Family Medicine in Little Rock, AR

Active since April 12, 2025CLIA 04D2330306 · Waiver
6221 COLONEL GLENN RD STE B, LITTLE ROCK, AR 72204(501) 441-5558 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Mercy Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE MERCY HEALTH CENTER (NPI 1609661305) is a healthcare organization registered as a family medicine in Little Rock, Arkansas and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Lee Wilbur, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1609661305
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIVINE MERCY HEALTH CENTER
Location Address6221 COLONEL GLENN RD STE BLittle Rock, AR 72204-7731
Mailing Address6221 Colonel Glenn Rd Ste BLittle Rock, AR 72204-7731 · (501) 441-5558
Phone(501) 441-5558
Organization SubpartNo
Authorized OfficialLee WilburManaging Member · (317) 409-3019
Enumeration DateApril 12, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1609661305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6221 COLONEL GLENN RD STE B, Little Rock, AR 72204
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2330306

Divine Mercy Health Center · Little Rock, AR
Active · expires Sep 14, 2027
CLIA Number04D2330306
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorLee G. Wilbur
Laboratory Phone(501) 441-5558
Laboratory LocationDivine Mercy Health Center6221 Colonel Glenn Rd Ste B, Little Rock, AR 72204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE G. WILBUR MD
Emergency Medicine
6221 COLONEL GLENN RD STE B
LITTLE ROCK, AR 72204
Pulaski County (501) 441-5558
DR. SOTERO JOHN URETA M. D.
Internal Medicine
6221 COLONEL GLENN RD STE B
LITTLE ROCK, AR 72204
Pulaski County (501) 441-5558
J. MICHAEL GRUENWALD MD FACS
Orthopaedic Surgery (Orthopaedic Trauma)
6221 COLONEL GLENN RD STE B
LITTLE ROCK, AR 72204
Pulaski County (501) 441-5558
I'LISA BETH WILLIAMS APRN-CNP
Nurse Practitioner
6221 COLONEL GLENN RD STE B
LITTLE ROCK, AR 72204
Pulaski County (317) 509-3019
KATHERINE MITCHELL MD
Family Medicine
6221 COLONEL GLENN RD STE B
LITTLE ROCK, AR 72204
Pulaski County (501) 441-5558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Mercy Health Center's NPI number?

The NPI number for Divine Mercy Health Center is 1609661305. It was assigned to this organization in the NPPES registry on April 12, 2025.

Where is Divine Mercy Health Center located?

Divine Mercy Health Center is located at 6221 Colonel Glenn Rd Ste B, Little Rock, AR 72204. The listed phone number is (501) 441-5558.

What is Divine Mercy Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Divine Mercy Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2330306) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Mercy Health Center was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.