Organization · Type 2 NPI

Great River Medical Center LLC

Family Medicine Physician · Blytheville, AR

NPI number 1083532618 Active

Practice location

1520 N Division St
Blytheville, AR 72315-1448

Call (870) 838-7300 Map

Mailing address

PO Box 108
Blytheville, AR 72316-0108

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Surgery Physician	208600000X	None listed
Hospitalist Physician	208M00000X	None listed
Pain Medicine Physician	208VP0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

22 other providers at this address

Other family medicine physician providers in Blytheville

See all in Blytheville →

NPI record

NPI: 1083532618
Entity type: Organization (Type 2)
Issued: Jul 9, 2026
Last updated: Aug 10, 2026
Status: Active

Other names

Great River Family Clinic · doing business as
Great River Pain Clinic · doing business as
Great River Physician Services · doing business as
Great River Specialty Clinic · doing business as
Great River Women's Clinic · doing business as
Mississippi County Primary Care Physicians Clinic · doing business as

Authorized official

Lacey Carter
CEO
(870) 838-7460

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083532618

Great River Medical Center LLC's National Provider Identifier is 1083532618, issued on Jul 9, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Blytheville, AR. The record was last updated on Aug 10, 2026.