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Organization

GREAT RIVER MEDICAL CENTER

Active
Parent organization
AMERIS OF ARKANSAS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERIS OF ARKANSAS, LLC
Authorized official
DAVID LYNN (CFO)
(870) 838-7462
Entity
Organization

Contact information

Practice address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7213
(838) 870-7100
Mailing address
PO BOX 167, BLYTHEVILLE, AR 72316-0167
(870) 838-7213
(870) 838-7100

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4258
AR

Other

Enumeration date
11/13/2006
Last updated
06/17/2008
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