MISSISSIPPI COUNTY HOSPITAL SYSTEM NPI 1316180748

NPI Information

  • NPI: 1316180748
  • Provider Name: MISSISSIPPI COUNTY HOSPITAL SYSTEM
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • Doing Business As: GREAT RIVER MEDICAL CENTER
  • Address: 1520 NORTH DIVISION
    BLYTHEVILLE, AR
    ZIP 72315
  • Phone: (870) 838-7300

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NPI Details

MISSISSIPPI COUNTY HOSPITAL SYSTEM is a general acute care hospital in Blytheville, AR. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MISSISSIPPI COUNTY HOSPITAL SYSTEM NPI is 1316180748. The provider is registered as an organization entity type.
The provider Is Doing Business As Great River Medical Center.

The provider's business location address is:

1520 NORTH DIVISION
BLYTHEVILLE, AR
ZIP 72315-448
Phone: (870) 838-7300
Fax: (870) 838-7493

The provider's authorized official is Chris Raymer .
The authorized official title is Coo/cno and has the following contact phone number (870) 838-7460.

The enumeration date for this NPI number is 4/15/2009 and was last updated on 11/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care HospitalNo
2282NR1301XGeneral Acute Care HospitalRuralNo
3282N00000XGeneral Acute Care HospitalAR4562ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1178791105MEDICAIDARKANSAS
2010158103MEDICAIDMISSOURI
3040069MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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