NPIMap

Organization Active NPI

Poplar Bluff Regional Medical Center Inc

Doing business as Poplar Bluff Reg Medical Center Home Health Services

  • Home Health Agency
  • Poplar Bluff, MO
National Provider Identifier
1235166000
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7512 Issued in MO
Legal business name
POPLAR BLUFF REGIONAL MEDICAL CENTER INC
Doing business as
Poplar Bluff Reg Medical Center Home Health Services
Practice address
621 W Pine St
Poplar Bluff, MO 63901-5042
Phone
(573) 686-5311
NPI assigned
Jun 27, 2006
Last updated
Dec 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Authorized official

Name
Timothy Parry, ESQ
Title
Sr VP and General Counsel
Phone
(239) 598-3176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7512 MO Primary

Addresses

Primary practice location

621 W Pine St
Poplar Bluff, MO 63901-5042

Mailing address

621 W Pine St
Poplar Bluff, MO 63901-5042
Phone (573) 686-5311

Other names 1

  • Poplar Bluff Reg Medical Center Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

621 W Pine St
Poplar Bluff, MO 63901
Phone (573) 686-4111

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196553600000",
    "number": "1235166000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015042",
            "telephone_number": "573-686-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015042",
            "telephone_number": "573-686-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR BLUFF REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-12-02",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3176",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "7512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Bluff Reg Medical Center Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; 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.