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AMERIS OF ARKANSAS LLC NPI 1710042429


NPI Information

NPI: 1710042429
Provider Name: AMERIS OF ARKANSAS, LLC

Doing Business As: GREAT RIVER MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 838-7300
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AMERIS OF ARKANSAS, LLC 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. AMERIS OF ARKANSAS, LLC NPI is 1710042429. 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 N DIVISION ST
BLYTHEVILLE, AR
ZIP 72315-448
Phone: (870) 838-7300
Fax: (870) 838-7100

The provider's authorized official is Micheal G Layfield .
The authorized official title is Ceo and has the following contact phone number (870) 838-7460.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalAR4258ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110069OTHERARKANSASBLUE CROSS

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: 4/28/2024

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