NPIMap

Organization Active NPI

Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Blytheville, AR
National Provider Identifier
1124634738
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Practice address
1521 N 10TH St Ste G
Blytheville, AR 72315-1424
Phone
(870) 838-7500
Fax
(870) 838-7452
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Lee Raymer
Title
Ceo
Phone
(870) 838-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1521 N 10TH St Ste G
Blytheville, AR 72315-1424

Mailing address

1520 N Division St
Blytheville, AR 72315-1448

Other names 1

  • Community Health Specialists Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1521 N 10th St
Ste G
Blytheville, AR 72315
Phone (870) 763-0222

1100 Medical Dr
Blytheville, AR 72315
Phone (870) 762-6725

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1124634738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N DIVISION ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N 10TH ST STE G",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151424",
            "telephone_number": "870-838-7500",
            "fax_number": "870-838-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COUNTY HOSPITAL SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "RAYMER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-838-7463"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.