GREAT RIVER MEDICAL CENTER (NPI# 1811068646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811068646 |
| Entity Type | Organization |
| 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 | 8388707100 |
| Mailing Telephone | 8708387213 |
| Mailing Fax Number | 8708387100 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DAVID LYNN (CFO) |
| Authorized Official Telephone | 8708387462 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIS OF ARKANSAS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | AR4258 | AR | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265411144 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
| 1053315002 | Great River Medical Center | Hospice Care, Community Based | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2005-06-08 |
| 1164433884 | Great River Medical Center | Emergency Medical Technician, Basic | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-08-10 |
| 1134168263 | Great River Medical Center | General Acute Care Hospital | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-06-05 |
| 1760461644 | Great River Medical Center | Home Health | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2006-01-10 |
| 1639158595 | Great River Medical Center | Rehabilitation Unit | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-01-10 |
| 1598744476 | Great River Medical Center | Home Delivered Meals | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-01-10 |
| 1386623262 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GREAT RIVER MEDICAL CENTER | 1221 S. Gear Ave, West Burlington, IA 52655 |
| Iowa Business Entities | GREAT RIVER MEDICAL CENTER STAFF FOUNDATION | 200 Jefferson Street, Burlington, IA 52601 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316180748 | Mississippi County Hospital System | General Acute Care Hospital | 1520 North Division, Blytheville, AR 72315-1448 | 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 |
| 1710042429 | Ameris of Arkansas, LLC | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2006-12-22 |
| 1922096585 | Ameris of Arkansas LLC | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1285005140 | Conway Community Services | General Acute Care Hospital | 1555 Exchange Avenue, Conway, AR 72032 | 2015-10-16 |
| 1770959017 | Tennessee Valley Health Care System | General Acute Care Hospital | 18 Point West Cv, Little Rock, AR 72211-3371 | 2015-08-20 |
| 1629455662 | Andrea Perkins | General Acute Care Hospital | 118 Essex St, Hot Springs, AR 71913-5845 | 2015-04-29 |
| 1558748657 | Marie Lauren Hatfield | General Acute Care Hospital | 1753 College Ave, Suite 100, Fayetteville, AR 72703 | 2015-04-28 |
| 1942624465 | Cheryl Friday | General Acute Care Hospital | 204 River Ridge Pt, Little Rock, AR 72227-1500 | 2014-02-05 |
| 1356773493 | Arkansas Continued Care Hospital of Jonesboro, LLC | General Acute Care Hospital | 3024 Red Wolf Blvd Ste 1, Jonesboro, AR 72401-7415 | 2013-07-31 |
| 1558612309 | Emilee Erin Phillips | General Acute Care Hospital | 3401 W Markham St., Little Rock, AR 72205 | 2012-09-19 |
| 1144590522 | St. Vincent Infirmary Medical Center | General Acute Care Hospital | 10100 Kanis Road, Little Rock, AR 72205 | 2012-01-03 |
| 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.