| Poplar Bluff Regional Medical Center, Llc | |
|
101 South Prairie Street Bloomfield MO 63825 | |
| (573) 568-3838 | |
| (573) 568-4212 |
| Full Name | Poplar Bluff Regional Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 South Prairie Street, Bloomfield, Missouri |
| Authorized Official Name and Position | James P Wright (SR. DIRECTOR) |
| Authorized Official Contact | 6154657587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Bluff Regional Medical Center, Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Poplar Bluff Regional Medical Center, Llc 101 South Prairie Street Bloomfield MO 63825 Ph: (573) 568-3838 |
| NPI Number | 1023424041 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023424041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Poplar Bluff Regional Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S. Prairie, Bloomfield, MO 63825 Phone: 573-568-3838 | |
Southeast Health Center Of Stoddard County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 State Hwy 25 North, Bloomfield, MO 63825 Phone: 573-568-3686 | |
Dexter Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Highway 25 North, Bloomfield, MO 63825 Phone: 573-568-3686 |