AMERIS OF ARKANSAS, LLC (NPI# 1548325251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548325251 |
| Entity Type | Organization |
| Organization Name | AMERIS OF ARKANSAS, LLC |
| Other Organization Name | GREAT RIVER MEDICAL CENTER |
| Practice Address |
1520 N Division St Blytheville AR 72315-1448 |
| Mailing Address |
Po Box 167 Blytheville AR 72316-0167 |
| Practice Telephone | 8708387213 |
| Practice Fax Number | 8708387100 |
| Mailing Telephone | 8708387213 |
| Mailing Fax Number | 8708387100 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID LYNN (CFO) |
| Authorized Official Telephone | 8708387462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | AR4258 | AR | Hospital Units |
| Other Name | Type Code |
|---|---|
| Great River Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104033976 | Ameris of Arkansas, LLC | Psychiatric Residential Treatment Facility | 611 W Lee Ave, Osceola, AR 72370-3001 | 2007-05-17 |
| 1710042429 | Ameris of Arkansas, LLC | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2006-12-22 |
| Street Address |
1520 N DIVISION ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338123 | Dunne Medical Ltd | Radiology | 1520 N Division St, Blytheville, AR 72315-1448 | 2005-10-05 |
| 1447796875 | Eric Green | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2017-01-09 |
| 1598218828 | Melissa Joy | Pharmacist | 1520 N Division St, Blytheville, AR 72315-1448 | 2016-08-03 |
| 1932442985 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1520 N Division St, Blytheville, AR 72315-1448 | 2013-03-28 |
| 1720332505 | Arkansas Em-i Byrne Medical Services Pa | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2012-11-01 |
| 1194009019 | Mississippi County Hospital System | Psychiatric Unit | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-10-11 |
| 1750661500 | North Division Street Emergency Physicians | Emergency Medicine | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-08-25 |
| 1376844878 | Mississippi County Hospital System | Anesthesiology | 1520 N Division St, Anesthesia Department, Blytheville, AR 72315-1448 | 2010-11-15 |
| 1932425758 | Laboratory Corporation of America | Clinical Medical Laboratory | 1520 N Division St, Blytheville, AR 72315-1448 | 2010-04-19 |
| 1053554485 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194009019 | Mississippi County Hospital System | Psychiatric Unit | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871091355 | University of Arkansas for Medical Sciences | Psychiatric Unit | 3001 W Roosevelt Rd, Little Rock, AR 72204-5658 | 2018-01-30 |
| 1811435894 | North Metro Medical | Psychiatric Unit | 1432 Braden Street, Jacksonville, AR 72018 | 2017-02-09 |
| 1790990240 | Dardanelle Community Hospital LLC | Psychiatric Unit | 200 North Third Street, Dardanelle, AR 72834 | 2007-05-10 |
| 1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
| 1659421527 | Veterans Hospital North Little Rock | Psychiatric Unit | 2713 Janet, Benton, AR 72015-2671 | 2007-01-11 |
| 1710931985 | Jefferson Hospital Association Inc | Psychiatric Unit | 1600 W. 40th Avenue, Pine Bluff, AR 71603-6301 | 2006-05-20 |
| 1063407138 | Washington Regional Medical Center | Psychiatric Unit | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2005-09-15 |
| 1710442801 | St Vincent Infirmary Medical Center | Psychiatric Unit | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-02-04 |
| 1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
| 1275029480 | John Ed Chambers Memorial Hospital, Inc | Psychiatric Unit | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-07-11 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.