Great River Medical Center

LBN: Mississippi County Hospital System
Great River Medical Center is an health care organization with primary practice located at 1520 North Division , Blytheville AR 72315-1448. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Rural. Hospitals / General Acute Care Hospital is the primary health care specialty. Mississippi County Hospital System can be contacted via phone (870) 838-7300, or through Raymer, Chris via phone (870) 838-7460.

Contact Information

Primary practice address
1520 North Division Blytheville AR 72315-1448
Fax: (870) 838-7493
Website:
Authorized official contact:
Name: Raymer, Chris

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Hospitals / General Acute Care Hospital 282N00000X AR4562 Arkansas
Hospitals / Rural 282NR1301X

Profile Details

NPI number 1316180748
LBN Legal business name Mississippi County Hospital System
DBA Doing business as Great River Medical Center
Authorized official Raymer, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2009
Last updated Nov 15th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316180748 NPPES
Missouri MEDICAID 010158103
Missouri MEDICAID 178791105

Popular Providers