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Organization
BLACK RIVER COMMUNITY MEDICAL CENTER
Active
Organization
BLACK RIVER COMMUNITY MEDICAL CENTER
Active
Other names
Black River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY L SHAWAN (CEO)
(573) 609-2495
Entity
Organization
Contact information
Practice address
217 PHYSICIANS PARK DRIVE, POPLAR BLUFF, MO 63901-3956
(573) 727-9080
(573) 778-0265
Mailing address
217 PHYSICIANS PARK DRIVE, POPLAR BLUFF, MO 63901-3956
(573) 727-9080
(573) 778-0265
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
MO
Other
Enumeration date
10/26/2011
Last updated
11/18/2015
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