NPIMap

Organization Active NPI

Ameris of Arkansas, LLC

  • General Acute Care Hospital
  • Blytheville, AR
National Provider Identifier
1710042429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
AR4258 Issued in AR
Legal business name
AMERIS OF ARKANSAS, LLC
Practice address
1520 N Division St
Blytheville, AR 72315-1448
Phone
(870) 838-7300
Fax
(870) 838-7100
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Micheal G Layfield Sr.
Title
Ceo
Phone
(870) 838-7460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AR4258 AR Primary

Addresses

Primary practice location

1520 N Division St
Blytheville, AR 72315-1448

Mailing address

PO Box 167
Blytheville, AR 72316-0167
Phone (870) 838-7300

Other identifiers 1

IdentifierTypeStateIssuer
10069OtherARBLUE CROSS

Other names 1

  • Great River Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great River Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710042429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723160167",
            "telephone_number": "870-838-7300",
            "fax_number": "870-838-7100"
        },
        {
            "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": "870-838-7300",
            "fax_number": "870-838-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIS OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAYFIELD",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-838-7460",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10069",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great River Medical Center",
            "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 Aug 22, 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.