MISSISSIPPI COUNTY HOSPITAL SYSTEM


Address: 1520 N Division St, Blytheville, AR 72315-1448
Phone: 8708387460

MISSISSIPPI COUNTY HOSPITAL SYSTEM (NPI# 1194009019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194009019
Entity Type Organization
Organization Name MISSISSIPPI COUNTY HOSPITAL SYSTEM
Other Organization Name GREAT RIVER MEDICAL CENTER-SENIOR CARE
Practice Address 1520 N Division St
Blytheville
AR 72315-1448
Practice Telephone 8708387460
Practice Fax Number 8708387493
Mailing Telephone 8708387460
Mailing Fax Number 8708387493
Enumeration Date 2011-10-11
Last Update Date 2011-10-11
Authorized Official Name MR. CHRIS L RAYMER (COO/CNO)
Authorized Official Telephone 8708387460
Authorized Official Credential RN
Is Organization Subpart Y
Parent Organization Name MISSISSIPPI COUNTY HOSPITAL SYSTEM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit AR4562 AR Hospital Units

Other Provider/Organization Names

Other Name Type Code
Great River Medical Center-Senior Care Doing Business As Name - Organization

Other Provider IDs and Locations

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
1073129755 Mississippi County Hospital System Clinic/Center 602 W Union Ave Ste B, Osceola, AR 72370-3022 2020-09-18
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

Office Location

Street Address 1520 N DIVISION ST
City BLYTHEVILLE
State AR
Zip Code 72315-1448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356338123 Dunne Medical Ltd Radiology 1520 N Division St, Blytheville, AR 72315-1448 2005-10-05
1447796875 Eric Green Nurse Practitioner 1520 N Division St, Blytheville, AR 72315-1448 2017-01-09
1598218828 Melissa Joy Pharmacist 1520 N Division St, Blytheville, AR 72315-1448 2016-08-03
1932442985 East Arkansas Emergency Physicians, Pllc Emergency Medicine 1520 N Division St, Blytheville, AR 72315-1448 2013-03-28
1720332505 Arkansas Em-i Byrne Medical Services Pa Nurse Practitioner 1520 N Division St, Blytheville, AR 72315-1448 2012-11-01
1750661500 North Division Street Emergency Physicians Emergency Medicine 1520 N Division St, Blytheville, AR 72315-1448 2011-08-25
1376844878 Mississippi County Hospital System Anesthesiology 1520 N Division St, Anesthesia Department, Blytheville, AR 72315-1448 2010-11-15
1932425758 Laboratory Corporation of America Clinical Medical Laboratory 1520 N Division St, Blytheville, AR 72315-1448 2010-04-19
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
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770055923 Gosnell Drugs Inc. Pharmacy 134 Bevill Ave, Gosnell, AR 72315 2018-12-28
1770938441 Kay Chan Powell Optometrist 527 N6th St, Ste A, Blythevile, AR 72315 2016-04-29
1124417142 Victoria Jacoby Nurse Practitioner 1521 N. 10th Street, Suite A, Blytheville, AR 72315 2015-01-14
1154736635 Hanna Kirk Case Manager/Care Coordinator 829 East Main St, Blytheville, AR 72315 2014-06-24
1700207909 Hannah Browning Speech-Language Pathologist 4555 North State Highway 137, Blytheville, AR 72315 2013-12-16
1164859286 Valarie Ranae Oldham Physical Therapist 827 E Main, Suite B, Blytheville, AR 72315 2013-10-03
1013350339 Air Evac Ems Inc. Ambulance 1021 Highland Street, Blytheville, AR 72315 2013-04-17
1962707158 Diffine Family Practice Pllc Family Medicine 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 2011-01-19
1447451984 Diabetes Institute Inc Durable Medical Equipment & Medical Supplies 623 W Moultrie, Blytheville, AR 72315 2007-05-31
1043426109 Connie Bromley Social Worker 514 Chickasawba, Blytheville, AR 72315 2007-05-15
Find all providers in zip 72315

Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548325251 Ameris of Arkansas, LLC Psychiatric Unit 1520 N Division St, Blytheville, AR 72315-1448 2006-12-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871091355 University of Arkansas for Medical Sciences Psychiatric Unit 3001 W Roosevelt Rd, Little Rock, AR 72204-5658 2018-01-30
1811435894 North Metro Medical Psychiatric Unit 1432 Braden Street, Jacksonville, AR 72018 2017-02-09
1790990240 Dardanelle Community Hospital LLC Psychiatric Unit 200 North Third Street, Dardanelle, AR 72834 2007-05-10
1538289491 Veterans Administration Psychiatric Unit 6390 Cash Mountain Rd, Malvern, AR 72104-9137 2007-04-01
1659421527 Veterans Hospital North Little Rock Psychiatric Unit 2713 Janet, Benton, AR 72015-2671 2007-01-11
1710931985 Jefferson Hospital Association Inc Psychiatric Unit 1600 W. 40th Avenue, Pine Bluff, AR 71603-6301 2006-05-20
1063407138 Washington Regional Medical Center Psychiatric Unit 1125 N College Ave, Fayetteville, AR 72703-1908 2005-09-15
1710442801 St Vincent Infirmary Medical Center Psychiatric Unit 2 Saint Vincent Cir, Little Rock, AR 72205-5423 2019-02-04
1477039782 Baptist Health Regional Hospitals Psychiatric Unit 1001 Towson Ave, Fort Smith, AR 72901-4921 2018-07-19
1275029480 John Ed Chambers Memorial Hospital, Inc Psychiatric Unit 719 Detroit Ave, Danville, AR 72833-9607 2018-07-11
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Competitor

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City BLYTHEVILLE
Zip Code 72315

Improve Information

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Dataset Information

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.

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