DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISSISSIPPI COUNTY HOSPITAL SYSTEM

MEDICARE: MISSISSIPPI COUNTY HOSPITAL SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital
2282NR1301XRural Acute Care Hospital
3282N00000XGeneral Acute Care HospitalAR4562AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316180748
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSISSIPPI COUNTY HOSPITAL SYSTEM
Provider Business Mailing Address
First Line : PO BOX 108
Second Line :
City : BLYTHEVILLE
State : AR
Zip : 72316-0108
Country : US
Telephone Number : 870-838-7300
Fax Number : 870-838-7493
Provider Business Practice Location Address
First Line : 1520 NORTH DIVISION
Second Line :
City : BLYTHEVILLE
State : AR
Zip : 72315-1448
Country : US
Telephone Number : 870-838-7300
Fax Number : 870-838-7493
Authorized Official
Title or Position : COO/CNO
Name : MR. CHRIS RAYMER
Credential :
Telephone Number : 870-838-7460
Provider Enumeration Date : 04/15/2009
Last Update Date : 11/15/2013

Similar Medicare Providers

1174358568 — MELISSA LYNN MARINO
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7300
Practice Fax:
1356338123 — DUNNE MEDICAL LTD
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7300
Practice Fax: 812-471-6650
1922096585 — AMERIS OF ARKANSAS LLC
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7300
Practice Fax: 870-838-7100
1306892542 — MICHAEL EUGENE JOHNSON MD
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7460
Practice Fax:
1811068646 — GREAT RIVER MEDICAL CENTER
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7213
Practice Fax: 838-870-7100
1710042429 — AMERIS OF ARKANSAS, LLC
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7300
Practice Fax: 870-838-7100
1548325251 — AMERIS OF ARKANSAS, LLC
Practice Location Address:
1520 N DIVISION ST
BLYTHEVILLE, AR
72315-1448
Practice Phone: 870-838-7213
Practice Fax: 870-838-7100

Directions to “MISSISSIPPI COUNTY HOSPITAL SYSTEM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.