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Poplar Bluff Regional Medical Center LLC

General Acute Care Hospital in Poplar Bluff, MO. Organization (NPI-2).

NPI number1700831724
StatusActive
Last updated in NPPESApr 20, 2021

Details

NPI
1700831724
Entity type
Organization (NPI-2)
Legal business name
Poplar Bluff Regional Medical Center LLC
Organization subpart
No
Enumeration date
May 24, 2006
Certification date
Apr 20, 2021
Last updated
Apr 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital4852MOYes
273R00000X Psychiatric Unit4852MO
367500000X Nurse Anesthetist, Certified Registered––

Other names

  • Poplar Bluff Regional Medical Center (Doing Business As)

Practice location

3100 Oak Grove Rd.
Poplar Bluff, MO 63901

Phone 573-686-5311

Mailing address

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573

Phone 573-712-2546

Authorized official

Paula Lalor
Director/Delegated Official
6292153953

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