MEDICARE: MCGEHEE DESHA COUNTY HOSPITAL

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	207P00000X	Emergency Medicine Physician	AR3964	AR

General Provider Information

NPI Number	:	1225070154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGEHEE DESHA COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 351
Second Line	:	900 SOUTH 3RD STREET
City	:	MCGEHEE
State	:	AR
Zip	:	71654-2562
Country	:	US
Telephone Number	:	870-222-5600
Fax Number	:	870-222-4260

Provider Business Practice Location Address
First Line	:	900 SOUTH 3RD STREET
Second Line	:
City	:	MCGEHEE
State	:	AR
Zip	:	71654-2562
Country	:	US
Telephone Number	:	870-222-5600
Fax Number	:	870-222-5960

Authorized Official
Title or Position	:	CEO
Name	:	JOHN E HEARD
Credential	:
Telephone Number	:	870-222-2150

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

900 SOUTH 3RD STREET
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Directions to “MCGEHEE DESHA COUNTY HOSPITAL ” Practice Location

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