# MISSISSIPPI COUNTY HOSPITAL SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Great River Women's Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215543624
- **Authorized official:** CHRIS LEE RAYMER (CEO)
- **Authorized official phone:** (870) 838-7463

## Contact information

- **Practice address:** 1100 MEDICAL DR, BLYTHEVILLE, AR 72315-1425
- **Practice address phone:** (870) 838-7277
- **Practice address fax:** (870) 776-5380
- **Mailing address:** 1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2020
- **Last updated:** 09/21/2020