| Poplar Bluff Regional Medical Center Llc | |
|
101 S. Prairie Bloomfield MO 63825-0200 | |
| (573) 568-3838 | |
| Not Available |
| Full Name | Poplar Bluff Regional Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 S. Prairie, Bloomfield, Missouri |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Bluff Regional Medical Center Llc Po Box 200 101 S. Praire Bloomfield MO 63825-0200 Ph: (573) 568-3838 | Poplar Bluff Regional Medical Center Llc 101 S. Prairie Bloomfield MO 63825-0200 Ph: (573) 568-3838 |
| NPI Number | 1174550115 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174550115 | NPI | - | NPPES |
| 598557007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Poplar Bluff Regional Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 South Prairie Street, Bloomfield, MO 63825 Phone: 573-568-3838 Fax: 573-568-4212 | |
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 |