MISSISSIPPI COUNTY HOSPITAL SYSTEM (NPI# 1669089462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669089462 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI COUNTY HOSPITAL SYSTEM |
| Practice Address |
1522 N Division St Blytheville AR 72315-1448 |
| Mailing Address |
1520 N Division St Blytheville AR 72315-1448 |
| Practice Telephone | 8708387530 |
| Practice Fax Number | 8708387539 |
| Mailing Telephone | 8708387000 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | CHRIS LEE RAYMER (CEO) |
| Authorized Official Telephone | 8708387463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Great River Family Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1316180748 | Mississippi County Hospital System | General Acute Care Hospital | 1520 North Division, Blytheville, AR 72315-1448 | 2009-04-15 |
| 1215543624 | Mississippi County Hospital System | Clinic/Center | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2020-09-21 |
| 1073129755 | Mississippi County Hospital System | Clinic/Center | 602 W Union Ave Ste B, Osceola, AR 72370-3022 | 2020-09-18 |
| 1194009019 | Mississippi County Hospital System | Psychiatric Unit | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-10-11 |
| 1164720868 | Mississippi County Hospital System | Midwife | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2011-03-03 |
| 1376844878 | Mississippi County Hospital System | Anesthesiology | 1520 N Division St, Anesthesia Department, Blytheville, AR 72315-1448 | 2010-11-15 |
| 1952544389 | Mississippi County Hospital System | General Acute Care Hospital | 611 W Lee Ave, Osceola, AR 72370-3001 | 2009-04-15 |
| 1053554485 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-15 |
| 1578706107 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-13 |
| Street Address |
1522 N DIVISION ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962641639 | William F Richards Md Plc | Radiology | 1522 N Division St, Blytheville, AR 72315-1448 | 2009-02-19 |
| 1558986240 | Amy Elizabeth Taylor | Pharmacy Technician | 1522 N Division St, Blytheville, AR 72315-1448 | 2020-06-09 |
| 1588000228 | Blytheville Rt Associates LLC | Radiology | 1522 N Division St, Blytheville, AR 72315-1448 | 2013-05-21 |
| 1992043046 | West Clinic, P.C. | Internal Medicine | 1522 N Division St, Blytheville, AR 72315-1448 | 2013-01-24 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1215543624 | Mississippi County Hospital System | Clinic/Center | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
Please comment or provide details below to improve the information on MISSISSIPPI COUNTY HOSPITAL SYSTEM.
| 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.