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Organization
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Active
Organization
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Active
Other names
Great River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS RAYMER (COO/CNO)
(870) 838-7460
Entity
Organization
Contact information
Practice address
1520 NORTH DIVISION, BLYTHEVILLE, AR 72315-1448
(870) 838-7300
(870) 838-7493
Mailing address
PO BOX 108, BLYTHEVILLE, AR 72316-0108
(870) 838-7300
(870) 838-7493
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4562
AR
282N00000X
General Acute Care Hospital
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010158103
—
MO
05
—
178791105
—
AR
Enumeration date
04/15/2009
Last updated
11/15/2013
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