# MISSISSIPPI COUNTY HOSPITAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great River Medical Center-Pro Fee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578706107
- **Authorized official:** DENIS MILLER (CONTROLLER)
- **Authorized official phone:** (870) 838-7445

## Contact information

- **Practice address:** 1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
- **Practice address phone:** (870) 838-7445
- **Practice address fax:** (870) 838-7492
- **Mailing address:** 1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
- **Mailing address phone:** (870) 838-7445
- **Mailing address fax:** (870) 838-7492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 04/13/2009