Healthcare Provider Details

I. General information

NPI: 1225070154
Provider Name (Legal Business Name): MCGEHEE DESHA COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SOUTH 3RD STREET
MCGEHEE AR
71654-2562
US

IV. Provider business mailing address

PO BOX 351 900 SOUTH 3RD STREET
MCGEHEE AR
71654-2562
US

V. Phone/Fax

Practice location:
  • Phone: 870-222-5600
  • Fax: 870-222-5960
Mailing address:
  • Phone: 870-222-5600
  • Fax: 870-222-4260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberAR3964
License Number StateAR

VIII. Authorized Official

Name: JOHN E HEARD
Title or Position: CEO
Credential:
Phone: 870-222-2150