NPIMap

Poplar Bluff Regional Medical Center LLC

A Medicare group practice based in Poplar Bluff, MO: 15 NPIs enrolled under one PECOS associate control ID (PAC ID 6800707225), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800707225The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
8
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 9 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20121030000465 MO Part A Provider - Rural Health Clinic 1881965267
O20090911000300 MO Part B Supplier - Clinic/Group Practice 1730330168
O20070710000096 MO Part A Provider - Hospital 1962446054
O20071116000008 MO Part B Supplier - Clinic/Group Practice 1750797775
O20030909000032 MO Part A Provider - Rural Health Clinic 1700821212
O20030909000021 MO Part A Provider - Rural Health Clinic 1275576654
O20030829000032 MO Part A Provider - Rural Health Clinic 1801839147
O20030909000031 MO Part A Provider - Hospital 1700831724

NPIs in this group 15

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (9).

Sources for this page