Organization
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Active
Other names
Great River Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LEE RAYMER (CEO)
(870) 838-7463
Entity
Organization
Contact information
Practice address
1522 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7530
(870) 838-7539
Mailing address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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