Poplar Bluff Regional Medical Center Inc
Organization Active NPI Home Health Agency · Poplar Bluff, MO
NPI 1235166000 · NPPES record last updated Dec 2, 2007
Key facts
- NPI
- 1235166000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 7512 (MO)
- Legal business name
- POPLAR BLUFF REGIONAL MEDICAL CENTER INC
- Practice address
- 621 W Pine St
Poplar Bluff, MO 63901-5042 - Phone
- (573) 686-5311
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Parry, ESQ
- Title
- Sr VP and General Counsel
- Phone
- (239) 598-3176
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7512 | MO | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61 | Other | MO | BC BS MO HHA |
| 58042008 | Medicaid | MO |
Other names
- Poplar Bluff Reg Medical Center Home Health Services
Other providers in Poplar Bluff, MO
- Poplar Bluff Pediatric Assoc LL
- Poplar Bluff Pharmacy LLC
- Poplar Bluff Pharmacy LLC
- Poplar Bluff Radiology Services Inc
- Poplar Bluff Regional Medical Center
- Poplar Bluff Regional Medical Center Inc
- Poplar Bluff Regional Medical Center LLC
- Poplar Bluff Regional Medical Center LLC
- Poplar Bluff Regional Medical Center LLC
- Poplar Bluff Regional Medical Center LLC
All providers in Poplar Bluff, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.