MISSISSIPPI COUNTY PRIMARY CARE PHYSICIANS CLINIC
NPI 1073129755
Clinic/Center - Rural Health in Osceola, AR

Active since September 18, 2020CLIA 04D2065008 · Waiver
602 W UNION AVE STE B, OSCEOLA, AR 72370(870) 563-6504(870) 622-0611 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2020, Sep 18, 2020 (2 updates tracked since 2020).

About Mississippi County Primary Care Physicians Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSISSIPPI COUNTY PRIMARY CARE PHYSICIANS CLINIC (NPI 1073129755) is a healthcare organization registered as a rural health in Osceola, Arkansas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Chris Lee Raymer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073129755
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMISSISSIPPI COUNTY HOSPITAL SYSTEM
Location Address602 W UNION AVE STE BOsceola, AR 72370-3022
Mailing Address1520 N Division StBlytheville, AR 72315-1448 · (870) 838-7462 · Fax (870) 838-7493
Fax(870) 622-0611
Organization SubpartNo
Authorized OfficialChris Lee RaymerCeo · (870) 838-7463
Enumeration DateSeptember 18, 2020
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
NPI 1073129755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
602 W UNION AVE STE B, Osceola, AR 72370

Other Names 1

Other NameMississippi County Primary Care Physicians Clinic

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2065008

Mississippi County Primary Care Physicians · Osceola, AR
Active · expires Aug 29, 2027
CLIA Number04D2065008
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorDr. Stephen Pirtle
Laboratory Phone(870) 563-6504
Laboratory LocationMississippi County Primary Care Physicians602 West Union, Suite B, Osceola, AR 72370
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
602 W UNION AVE STE B
OSCEOLA, AR 72370
Clinic/Center (Rural Health)
602 W UNION AVE STE B
OSCEOLA, AR 72370
Family Medicine
602 W UNION AVE STE B
OSCEOLA, AR 72370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mississippi County Hospital System's NPI number?

The NPI number for Mississippi County Hospital System is 1073129755. It was assigned to this organization in the NPPES registry on September 18, 2020. The provider is also known as Mississippi County Primary Care Physicians Clinic.

Where is Mississippi County Hospital System located?

Mississippi County Hospital System is located at 602 W Union Ave Ste B, Osceola, AR 72370. The listed phone number is (870) 563-6504.

What is Mississippi County Hospital System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mississippi County Hospital System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2065008) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mississippi County Hospital System accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mississippi County Hospital System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi County Hospital System was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.