Healthcare Provider Details

I. General information

NPI: 1821977059
Provider Name (Legal Business Name): FIVE RIVERS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 MEDICAL CENTER DR
POCAHONTAS AR
72455-9436
US

IV. Provider business mailing address

2801 MEDICAL CENTER DR
POCAHONTAS AR
72455-9436
US

V. Phone/Fax

Practice location:
  • Phone: 870-892-6000
  • Fax: 870-892-6258
Mailing address:
  • Phone: 870-892-6000
  • Fax: 870-892-6258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RANDALL DEWAYNE BARYMON
Title or Position: CEO
Credential:
Phone: 870-892-6200