NPIMap

Organization Active NPI

Mississippi County Hospital System

Doing business as Great River Medical Center-Senior Care

  • Psychiatric Hospital Unit
  • Blytheville, AR
National Provider Identifier
1194009019
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
AR4562 Issued in AR
Legal business name
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Doing business as
Great River Medical Center-Senior Care
Practice address
1520 N Division St
Blytheville, AR 72315-1448
Phone
(870) 838-7460
Fax
(870) 838-7493
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSISSIPPI COUNTY HOSPITAL SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mr. Chris L Raymer, RN
Title
Coo/Cno
Phone
(870) 838-7460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X AR4562 AR Primary

Addresses

Primary practice location

1520 N Division St
Blytheville, AR 72315-1448

Mailing address

1520 N Division St
Blytheville, AR 72315-1448
Phone (870) 838-7460

Other names 1

  • Great River Medical Center-Senior Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mississippi County Primary Care Physicians9 organizations share this tax ID, including this one
Part of
Mississippi County Primary Care Physicians

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1194009019",
    "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",
            "telephone_number": "870-838-7460",
            "fax_number": "870-838-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N DIVISION ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151448",
            "telephone_number": "870-838-7460",
            "fax_number": "870-838-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COUNTY HOSPITAL SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSISSIPPI COUNTY HOSPITAL SYSTEM",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "RAYMER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO/CNO",
        "authorized_official_telephone_number": "870-838-7460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AR",
            "license": "AR4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great River Medical Center-Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2011; 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.