Southern Missouri Sleep Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHERN MISSOURI SLEEP CENTER, LLC

Practice address

922 N Westwood Blvd
Poplar Bluff, MO 63901-4242

Phone

(573) 727-9661

Fax

(573) 727-9665

NPI assigned

May 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Anita Gale Hopkin, RPSGT

Title

Manager

Phone

(314) 645-5855

Specialties & licenses 1

Addresses

Tax ID family

Southern Missouri Sleep Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Missouri Sleep Center, LLC

  • Physiological Laboratory
  • Poplar Bluff, MO
  • NPI 1124115894
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003853946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014242",
            "telephone_number": "573-727-9661",
            "fax_number": "573-727-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014242",
            "telephone_number": "573-727-9661",
            "fax_number": "573-727-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MISSOURI SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPKIN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-645-5855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Missouri Community Treatment Center, Inc.
• Southeast Missouri Residential Services
• Southeast Rehabilitation, LLC
• Southeasthealth Hospital Holdings, LLC
• Southern Care and Comfort in Home Agency, LLC
• Southern Missouri Sleep Center, LLC
• Jody Beth Spain, APRN, FNP-BC
• Jennifer Spell
• Laronda Spence
• Tammy R Springer, BSW

• Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.