Healthcare Provider Details

I. General information

NPI: 1366685992
Provider Name (Legal Business Name): SMC-MISSISSIPPI COUNTY HOSPITAL SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 W LEE AVE
OSCEOLA AR
72370-3001
US

IV. Provider business mailing address

PO BOX 108
BLYTHEVILLE AR
72316-0108
US

V. Phone/Fax

Practice location:
  • Phone: 870-838-7000
  • Fax: 870-838-7493
Mailing address:
  • Phone: 870-838-7300
  • Fax: 870-838-7493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA PIERCE
Title or Position: INTERIM CEO
Credential:
Phone: 870-838-7460