Provider Demographics
NPI:1205834900
Name:MCGEHEE DESHA COUNTY HOSPITAL
Entity Type:Organization
Organization Name:MCGEHEE DESHA COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:870-222-5600
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:900 SOUTH 3RD STREET
Mailing Address - City:MCGEHEE
Mailing Address - State:AR
Mailing Address - Zip Code:71654-2562
Mailing Address - Country:US
Mailing Address - Phone:870-222-5600
Mailing Address - Fax:870-222-5960
Practice Address - Street 1:900 SOUTH 3RD STREET
Practice Address - Street 2:
Practice Address - City:MCGEHEE
Practice Address - State:AR
Practice Address - Zip Code:71654-2562
Practice Address - Country:US
Practice Address - Phone:870-222-5600
Practice Address - Fax:870-222-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR3964282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR041308Medicare ID - Type Unspecified