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Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Active
Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Active
Other names
Puxico Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
130 E HARBIN AVE, PUXICO, MO 63960-9104
(573) 222-3556
Mailing address
130 E HARBIN AVE, PUXICO, MO 63960-9104
(573) 222-3556
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/14/2006
Last updated
04/20/2021
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