| Poplar Bluff Regional Medical Center Llc | |
|
610 N One Mile Rd Dexter MO 63841-2539 | |
| (573) 624-3600 | |
| Not Available |
| Full Name | Poplar Bluff Regional Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 N One Mile Rd, Dexter, Missouri |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Bluff Regional Medical Center Llc 610 N One Mile Rd Dexter MO 63841-2539 Ph: (573) 624-3600 | Poplar Bluff Regional Medical Center Llc 610 N One Mile Rd Dexter MO 63841-2539 Ph: (573) 624-3600 |
| NPI Number | 1700821212 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 6800707225 |
|---|---|
| Medicare Enrollment ID | O20030909000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700821212 | NPI | - | NPPES |
| 597857903 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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