MISSISSIPPI COUNTY HOSPITAL SYSTEM (NPI# 1073129755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073129755 |
Entity Type | Organization |
Organization Name | MISSISSIPPI COUNTY HOSPITAL SYSTEM |
Other Organization Name | MISSISSIPPI COUNTY PRIMARY CARE PHYSICIANS CLINIC |
Practice Address |
602 W Union Ave Ste B Osceola AR 72370-3022 |
Mailing Address |
1520 N Division St Blytheville AR 72315-1448 |
Practice Telephone | 8705636504 |
Practice Fax Number | 8706220611 |
Mailing Telephone | 8708387462 |
Mailing Fax Number | 8708387493 |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-23 |
Authorized Official Name | CHRIS LEE RAYMER (CEO) |
Authorized Official Telephone | 8708387463 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mississippi County Primary Care Physicians Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
1316180748 | Mississippi County Hospital System | General Acute Care Hospital | 1520 North Division, Blytheville, AR 72315-1448 | 2009-04-15 |
1669089462 | Mississippi County Hospital System | Clinic/Center | 1522 N Division St, Blytheville, AR 72315-1448 | 2020-09-25 |
1215543624 | Mississippi County Hospital System | Clinic/Center | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2020-09-21 |
1194009019 | Mississippi County Hospital System | Psychiatric Unit | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-10-11 |
1164720868 | Mississippi County Hospital System | Midwife | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2011-03-03 |
1376844878 | Mississippi County Hospital System | Anesthesiology | 1520 N Division St, Anesthesia Department, Blytheville, AR 72315-1448 | 2010-11-15 |
1952544389 | Mississippi County Hospital System | General Acute Care Hospital | 611 W Lee Ave, Osceola, AR 72370-3001 | 2009-04-15 |
1053554485 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-15 |
1578706107 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-13 |
Street Address |
602 W UNION AVE STE B |
City | OSCEOLA |
State | AR |
Zip Code | 72370-3022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922120195 | Mississippi County Primary Care | Family Medicine | 602 W Union Ave Ste B, Osceola, AR 72370-3014 | 2007-04-06 |
1629207386 | Pratapji T Thakor | Family Medicine | 602 W Union Ave Ste B, Osceola, AR 72370-3014 | 2009-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
Find all providers in zip 72370 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740700533 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 800 S Fillmore St Ste A, Osceola, IA 50213-1619 | 2017-06-22 |
1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
1861609570 | Sumner R Cullom M D P A | Clinic/Center | 700 W Keiser Ave, Osceola, AR 72370-3506 | 2007-05-16 |
1396827804 | St. Clair County Hospital District No. 1 | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2006-10-20 |
1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
1578961454 | Citizens Memorial Healthcare | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-09 |
1689973620 | Osceola Rural Health Clinic LLC | Clinic/Center | 101 Giesler Drive, Osceola, MO 64776-6297 | 2011-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.