Organization
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE E MCGUIRE (COUNTY JUDGE)
(870) 838-7463
Entity
Organization
Contact information
Practice address
1520 N DIVISION ST, ANESTHESIA DEPARTMENT, BLYTHEVILLE, AR 72315-1448
(870) 838-7300
Mailing address
PO BOX 167, BLYTHEVILLE, AR 72316-0167
(870) 838-7445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
999999
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
999999
AR
208VP0000X
Pain Medicine Physician
999999
AR
208VP0014X
Interventional Pain Medicine Physician
999999
AR
367500000X
Certified Registered Nurse Anesthetist
999999
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185918002
—
AR
05
—
185919002
—
AR
01
—
5B014
BLUECROSS BLUESHIELD OF ARKANSAS
AR
Enumeration date
11/15/2010
Last updated
04/29/2011
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