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Contact Information

MISSISSIPPI COUNTY HOSPITAL SYSTEM
1520 N DIVISION ST
ANESTHESIA DEPARTMENT
BLYTHEVILLE, AR72315-1448
 Phone: 870-838-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MISSISSIPPI COUNTY HOSPITAL SYSTEM

NPI Number 1376844878
LBN Legal business name MISSISSIPPI COUNTY HOSPITAL SYSTEM
Authorized official STEVE MCGUIRE - (COUNTY JUDGE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2010
Last updated 04/29/2011 - About 15 years ago
Identifiers
AR License # 999999
AR Medicaid 185918002
AR Medicaid 185919002
AR Other 5B014 BLUECROSS BLUESHIELD OF ARKANSAS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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