| Great River Medical Center | |
|
1520 N Division St Blytheville AR 72315-1448 | |
| (870) 838-7213 | |
| (870) 838-7100 |
| Full Name | Great River Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1520 N Division St, Blytheville, Arkansas |
| Authorized Official Name and Position | David Lynn (CFO) |
| Authorized Official Contact | 8708387462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Medical Center Po Box 167 Blytheville AR 72316-0167 Ph: (870) 838-7213 | Great River Medical Center 1520 N Division St Blytheville AR 72315-1448 Ph: (870) 838-7213 |
| NPI Number | 1548325251 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548325251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | AR4258 (Arkansas) | Primary |
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Great River Medical Center-senior Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 N Division St, Blytheville, AR 72315 Phone: 870-838-7460 Fax: 870-838-7493 | |
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