# POPLAR BLUFF REGIONAL MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Puxico Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275576654
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 130 E HARBIN AVE, PUXICO, MO 63960-9104
- **Practice address phone:** (573) 222-3556
- **Mailing address:** 130 E HARBIN AVE, PUXICO, MO 63960-9104
- **Mailing address phone:** (573) 222-3556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 04/20/2021