GREAT RIVER MEDICAL CENTER - GRPS
NPI 1053554485
General Acute Care Hospital in Blytheville, AR

NPI Status: Active since April 15, 2009

Contact Information

1520 N DIVISION ST
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 838-7445
Fax: (870) 838-7492

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 04D0467719
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About GREAT RIVER MEDICAL CENTER - GRPS

This page provides the complete NPI Profile along with additional information for Great River Medical Center - Grps, a provider established in Blytheville, Arkansas operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1053554485 assigned on April 2009. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Great River Medical Center - Grps. The authorized official of this NPI record is Denis Miller (Controller)

NPI
1053554485
Provider Legal Name
MISSISSIPPI COUNTY HOSPITAL SYSTEM
Other Organization Name
GREAT RIVER MEDICAL CENTER - GRPS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1520 N DIVISION ST BLYTHEVILLE, AR 72315
Location Phone
(870) 838-7445
Location Fax
(870) 838-7492
Mailing Address
1520 N DIVISION ST BLYTHEVILLE, AR 72315
Mailing Phone
(870) 838-7445
Mailing Fax
(870) 838-7492
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2009
Last Update Date
04-15-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENIS MILLER

Authorized Official Title
CONTROLLER
Authorized Official Phone
(870) 838-7445

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D0467719
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. ELIZABETH W. SALES
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Great River Medical Center - Grps on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053554485, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 5 + 8 + 4 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053554485.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

General Acute Care Hospital
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Emergency Medicine
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
General Acute Care Hospital
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
General Acute Care Hospital
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Anesthesiology
1520 N DIVISION ST, ANESTHESIA DEPARTMENT
BLYTHEVILLE, AR 72315
Emergency Medicine
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Psychiatric Unit
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Nurse Practitioner
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Clinical Medical Laboratory
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Pharmacist
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Internal Medicine
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Radiology (Diagnostic Radiology)
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
General Acute Care Hospital
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Psychiatric Unit
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Emergency Medicine
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Nurse Practitioner (Family)
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Nurse Practitioner (Neonatal)
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Emergency Medicine
1520 N DIVISION ST
BLYTHEVILLE, AR 72315
Family Medicine
1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053554485, enumerated as an "organization" on April 15, 2009.

The provider is located at 1520 N DIVISION ST BLYTHEVILLE, AR 72315 and the phone number is (870) 838-7445.

General Acute Care Hospital with taxonomy code 282N00000X.