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Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Active
Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Active
Other names
Poplar Bluff Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
3100 OAK GROVE RD., POPLAR BLUFF, MO 63901
(573) 686-5311
Mailing address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 712-2546
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
4852
MO
282N00000X
General Acute Care Hospital
Primary
4852
MO
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/24/2006
Last updated
04/20/2021
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