Organization
AMERIS OF ARKANSAS, LLC
Active
Other names
Great River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL G LAYFIELD SR. (CEO)
(870) 838-7460
Entity
Organization
Contact information
Practice address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7300
(870) 838-7100
Mailing address
PO BOX 167, BLYTHEVILLE, AR 72316-0167
(870) 838-7300
(870) 838-7100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4258
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069
BLUE CROSS
AR
Enumeration date
12/22/2006
Last updated
08/22/2020
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