NPIMap

Organization Active NPI

Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
National Provider Identifier
1811068646
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
AR4258 Issued in AR
Legal business name
GREAT RIVER MEDICAL CENTER
Practice address
1520 N Division St
Blytheville, AR 72315-1448
Phone
(870) 838-7213
Fax
(838) 870-7100
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization
AMERIS OF ARKANSAS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
David Lynn
Title
Cfo
Phone
(870) 838-7462

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) 838-7213

National Provider Directory

National Provider Directory
Part of
Great River Medical Center

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2

Practitioners & affiliated clinicians

Practitioners 9

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1811068646",
    "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": "870-838-7213",
            "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": "870-838-7213",
            "fax_number": "838-870-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT RIVER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIS OF ARKANSAS, LLC",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-838-7462"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 2008; 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.