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
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1215543624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSISSIPPI COUNTY HOSPITAL SYSTEM

Provider Business Mailing Address
First Line	:	1520 N DIVISION ST
Second Line	:
City	:	BLYTHEVILLE
State	:	AR
Zip	:	72315-1448
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 MEDICAL DR
Second Line	:
City	:	BLYTHEVILLE
State	:	AR
Zip	:	72315-1425
Country	:	US
Telephone Number	:	870-838-7277
Fax Number	:	870-776-5380

Authorized Official
Title or Position	:	CEO
Name	:	CHRIS LEE RAYMER
Credential	:
Telephone Number	:	870-838-7463

Provider Enumeration Date	:	09/21/2020
Last Update Date	:	09/21/2020

Similar Medicare Providers

1679576631 — DR. DAVID ARTHUR DIFFINE MD
Practice Location Address:

1100 MEDICAL DR , SUITE C
BLYTHEVILLE, AR
72315-1425

Practice Phone: 870-824-2809
Practice Fax: 870-762-0731

1710913082 — DR. NANDAKISHORE DUKKIPATI MD
Practice Location Address:

1100 MEDICAL DR
BLYTHEVILLE, AR
72315-1425

Practice Phone: 870-762-6725
Practice Fax:

1114096963 — MR. CHRISTOPHER L SURRATT APRN
Practice Location Address:

1100 MEDICAL DR , SUITE D
BLYTHEVILLE, AR
72315-1425

Practice Phone: 870-838-7385
Practice Fax: 870-762-4781

1962652859 — SALINE WOMENS GROUP
Practice Location Address:

1100 MEDICAL DR
BLYTHEVILLE, AR
72315-1425

Practice Phone: 870-780-1363
Practice Fax: 870-780-1364

1164720868 — MISSISSIPPI COUNTY HOSPITAL SYSTEM
Practice Location Address:

1100 MEDICAL DR
BLYTHEVILLE, AR
72315-1425

Practice Phone: 870-762-6725
Practice Fax:

1396117453 — PEGGY DARTY
Practice Location Address:

1100 MEDICAL DR
BLYTHEVILLE, AR
72315-1425

Practice Phone: 870-563-6504
Practice Fax: 870-563-7482

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.