Provider Demographics
NPI:1316266851
Name:MCGEHEE HOSPITAL INCORPORATED
Entity type:Organization
Organization Name:MCGEHEE HOSPITAL INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:AMSTUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:870-690-4132
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:MC GEHEE
Mailing Address - State:AR
Mailing Address - Zip Code:71654-0351
Mailing Address - Country:US
Mailing Address - Phone:870-222-5600
Mailing Address - Fax:870-222-4260
Practice Address - Street 1:900 S 3RD ST
Practice Address - Street 2:
Practice Address - City:MC GEHEE
Practice Address - State:AR
Practice Address - Zip Code:71654-2562
Practice Address - Country:US
Practice Address - Phone:870-222-5600
Practice Address - Fax:870-690-4239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR57687OtherBLUE CROSS
AR183267002Medicaid
AR207541002Medicaid
AR5D586OtherBLUE CROSS
ARAR4657OtherLICENSE