Organization
GREAT RIVER MEDICAL CENTER LLC
Active
Organization
GREAT RIVER MEDICAL CENTER LLC
Active
Other names
Mississippi County Primary Care Physicians Clinic, Great River Women's Clinic, Great River Physician Services, Great River Family Clinic, Great River Pain Clinic, Great River Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY CARTER (CEO)
(870) 838-7460
Entity
Organization
Contact information
Practice address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7300
Mailing address
PO BOX 108, BLYTHEVILLE, AR 72316-0108
(870) 838-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
08/10/2026
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