| Great River Medical Center Llc | |
|
1520 N Division St Blytheville AR 72315-1448 | |
| (870) 838-7300 | |
| Not Available |
| Full Name | Great River Medical Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1520 N Division St, Blytheville, Arkansas |
| Authorized Official Name and Position | Lacey Carter (CEO) |
| Authorized Official Contact | 8708387460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Medical Center Llc Po Box 108 Blytheville AR 72316-0108 Ph: (870) 838-7300 | Great River Medical Center Llc 1520 N Division St Blytheville AR 72315-1448 Ph: (870) 838-7300 |
| NPI Number | 1083532618 |
|---|---|
| Provider Enumeration Date | 07/09/2026 |
| Last Update Date | 07/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083532618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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