# MISSISSIPPI COUNTY HOSPITAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mississippi County Primary Care Physicians Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073129755
- **Authorized official:** CHRIS LEE RAYMER (CEO)
- **Authorized official phone:** (870) 838-7463

## Contact information

- **Practice address:** 602 W UNION AVE STE B, OSCEOLA, AR 72370-3022
- **Practice address phone:** (870) 563-6504
- **Practice address fax:** (870) 622-0611
- **Mailing address:** 1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
- **Mailing address phone:** (870) 838-7462
- **Mailing address fax:** (870) 838-7493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 09/23/2020