# AMERIS OF ARKANSAS LLC

> 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 Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922096585
- **Authorized official:** DAVID LYNN (CFO)
- **Authorized official phone:** (870) 838-7462

## Contact information

- **Practice address:** 1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
- **Practice address phone:** (870) 838-7300
- **Practice address fax:** (870) 838-7100
- **Mailing address:** PO BOX 167, BLYTHEVILLE, AR 72316-0167
- **Mailing address phone:** (870) 838-7300
- **Mailing address fax:** (870) 838-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | AR4258 | AR | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 10/12/2007