Organization
GREAT RIVER MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT NICHOLS (SOLE MEMBER)
(870) 838-7466
Entity
Organization
Contact information
Practice address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7466
Mailing address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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