# POPLAR BLUFF REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poplar Bluff Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700831724
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 3100 OAK GROVE RD., POPLAR BLUFF, MO 63901
- **Practice address phone:** (573) 686-5311
- **Mailing address:** 3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
- **Mailing address phone:** (573) 712-2546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | 4852 | MO | — |
| 282N00000X | General Acute Care Hospital | 4852 | MO | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 04/20/2021