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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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