Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great River Medical Center LLC

Organization Anesthesiology Physician · NPI 1699698811

Great River Medical Center LLC is an Anesthesiology Physician in Blytheville, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1520 N Division St
Blytheville, AR 72315-1448
Phone: (870) 838-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1699698811
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat River Medical Center LLC
Authorized official Lacey Carter — Ceo · (870) 838-7460
Other names Great River Anesthesia Group
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing addressPo Box 108, Blytheville, AR 72316-0108

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