Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GREAT RIVER MEDICAL CENTER LLC
NPI 1699698811
Nurse Anesthetist, Certified Registered in Blytheville, AR

Q: What is Great River Medical Center LLC's NPI number?

The NPI number for Great River Medical Center LLC is 1699698811. It was assigned to this organization in the NPPES registry on August 3, 2026. The provider is doing business as Great River Anesthesia Group.

Q: What is Great River Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since August 03, 2026

1520 N DIVISION ST, BLYTHEVILLE, AR 72315(870) 838-7300 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Aug 3, 2026 (2 updates tracked since 2026).

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About Great River Medical Center Llc NPPES

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

GREAT RIVER MEDICAL CENTER LLC (NPI 1699698811), doing business as Great River Anesthesia Group, is a healthcare organization registered as a nurse anesthetist, certified registered in Blytheville, Arkansas and active in the NPI registry since August 2026. The organization lists Lacey Carter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699698811

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameGREAT RIVER MEDICAL CENTER LLC

Location Address1520 N DIVISION STBlytheville, AR 72315-1448

Mailing AddressPo Box 108Blytheville, AR 72316-0108 · (870) 838-7300

Phone(870) 838-7300

Organization SubpartYes

Authorized OfficialLacey CarterCeo · (870) 838-7460

Enumeration DateAugust 3, 2026

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1699698811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1520 N DIVISION ST, Blytheville, AR 72315

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Other Names 1

Doing Business AsGreat River Anesthesia Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MISSISSIPPI COUNTY HOSPITAL SYSTEM

General Acute Care Hospital