McGehee Desha Co Hospital
Organization Active NPI Preferred Provider Organization · McGehee, AR
NPI 1033247176 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1033247176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- R3053 (AR)
- Legal business name
- MCGEHEE DESHA CO HOSPITAL
- Practice address
- 206 S 1St St
McGehee, AR 71654-2339 - Phone
- (870) 222-3644
- Fax
- (870) 222-3682
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter Kong Go, MD
- Title
- Physician
- Phone
- (870) 222-3644
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- McGehee Desha County Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | R3053 | AR | Yes |
Addresses
Primary practice location
206 S 1St St
McGehee, AR 71654-2339
Mailing address
206 S 1St St
McGehee, AR 71654-2339
Phone (870) 222-3644
Other names
- MAIN STREET MEDICAL
Other providers in McGehee, AR
- Judy Faye Lattimore
- Candace Lee
- Dwana Lee
- Lee K Long
- Omololu Longe
- McGehee Desha County Hospital
- McGehee Desha County Hospital
- McGehee Desha County Hospital
- McGehee Desha County Hospital
- McGehee School District
All providers in McGehee, AR · Preferred Provider Organization in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.